Linda S Gore, PA

NPI #1144218595 in Boulder, Colorado

Provider Information

NPI Number: 1144218595
Entity Type: Individual
Name: Linda S Gore, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 10, 2005
Last Updated: Jul 17, 2013

Practice Location

Address: 2525 13TH STREET
City: Boulder
State: Colorado
ZIP Code: 80304-4104
Phone: (303) 449-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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