Timothy Ahearne, PA-C
Physician Assistant, Medical in Aurora, CO. Individual provider (NPI-1).
NPI number1396148151
StatusActive
Last updated in NPPESDec 27, 2018
Details
- NPI
- 1396148151
- Entity type
- Individual (NPI-1)
- Name
- Timothy Ahearne
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2014
- Last updated
- Dec 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA.0004736 | CO | Yes |
| 363A00000X | Physician Assistant | 085-005266 | IL |
Practice location
12605 E 16th AveAurora, CO 80045-2545
Phone 720-848-0000
Mailing address
10103 Ridgegate PkwySuite 112
Lone Tree, CO 80124-5520
Phone 303-662-8250 · Fax 303-662-8249
Other practice locations
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