MEDICARE: TRENTEN CONKLING PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9110913	FL

General Provider Information

NPI Number	:	1710490867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENTEN CONKLING PA

Provider Business Mailing Address
First Line	:	63 N QUEBEC ST STE 201
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-7358
Country	:	US
Telephone Number	:	303-248-7897
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 N QUEBEC ST STE 201
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-7358
Country	:	US
Telephone Number	:	303-248-7897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2017
Last Update Date	:	10/05/2025

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Directions to “ TRENTEN CONKLING PA” Practice Location

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