MRS. Angelina Kelly Viscardi Waller, PA-C

NPI #1417061821 in Parker, Colorado

Provider Information

NPI Number
1417061821
Entity Type
Individual
Name
MRS. Angelina Kelly Viscardi Waller, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Aug 19, 2006
Last Updated
Jun 6, 2018

Practice Location

Address
11960 LIONESS WAY STE 260
City
Parker
ZIP Code
80134
Phone
(303) 344-9090

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant - MedicalMedical

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