Nicole R Rae, P.A.C.

NPI #1487804852 in Denver, Colorado

Provider Information

NPI Number: 1487804852
Entity Type: Individual
Name: Nicole R Rae, P.A.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.A.C.
Enumeration Date: Sep 23, 2008
Last Updated: Feb 3, 2009

Practice Location

Address: 125 RAMPART WAY
Address 2: SUITE 200
City: Denver
State: Colorado
ZIP Code: 80230-6406
Phone: (720) 858-7434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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