MRS. Sage Elizabeth Thibdeau, PA

NPI #1801087424 in Erie, Colorado

Provider Information

NPI Number: 1801087424
Entity Type: Individual
Name: MRS. Sage Elizabeth Thibdeau, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 8, 2007
Last Updated: Oct 15, 2024

Practice Location

Address: 698 BRIGGS ST
City: Erie
State: Colorado
ZIP Code: 80516
Phone: (720) 618-7098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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