Grant Bracken, PA-C

NPI #1164042727 in Lafayette, Colorado

Provider Information

NPI Number
1164042727
Entity Type
Individual
Name
Grant Bracken, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Apr 23, 2020
Last Updated
Apr 20, 2023

Practice Location

Address
340 EXEMPLA CIR STE 300
ZIP Code
80026-3384
Phone
(303) 673-1390

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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