Search › Colorado › Surgical 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, LlcInferred 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