SearchColoradoSurgical Physician Assistant

Timothy Mackie, PA

NPI 1689655466 · on the registry since 2005

Practice

Address
13631 Colorado Blvd
Thornton, CO 80602
Phone
(303) 252-2960
Fax
(303) 252-2964
Organisation at this address
Poudre Valley Medical Group, Llc
Thornton 136th Medical Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado