MEDICARE: MISS TAMARA DANIELSON SACHS PA-C

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
2	363A00000X	Physician Assistant	4743	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851762702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TAMARA DANIELSON SACHS PA-C

Provider Business Mailing Address
First Line	:	4900 S MONACO ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3487
Country	:	US
Telephone Number	:	303-563-2755
Fax Number	:	303-861-6219

Provider Business Practice Location Address
First Line	:	1601 E 19TH AVE STE 3800
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1252
Country	:	US
Telephone Number	:	303-563-2755
Fax Number	:	303-861-6219

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

Provider Enumeration Date	:	10/16/2015
Last Update Date	:	01/26/2017

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Directions to “ MISS TAMARA DANIELSON SACHS PA-C” Practice Location

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