Robin Tidwell, PA-C
Physician Assistant in Parker, CO. Individual provider (NPI-1).
NPI number1154774586
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1154774586
- Entity type
- Individual (NPI-1)
- Name
- Robin Tidwell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2016
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
11355 S Parker Rd Unit 103Parker, CO 80134-7705
Phone 209-747-2107
Mailing address
5102 S Lisbon WayCentennial, CO 80015-6439
Phone 425-765-6772
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All 53 Physician Assistant providers in Parker · All 2,735 providers in Parker
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