MRS. Susan Lynn Rancis, PA-C

NPI #1144213679 in Boulder, Colorado

Provider Information

NPI Number: 1144213679
Entity Type: Individual
Name: MRS. Susan Lynn Rancis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 30, 2005
Last Updated: May 28, 2010

Practice Location

Address: 3434 47TH STREET
Address 2: #200
City: Boulder
State: Colorado
ZIP Code: 80301-1880
Phone: (303) 444-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X

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