Provider Demographics
NPI:1740429976
Name:HAMBURGER, ALLISON KOPROWSKI (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:KOPROWSKI
Last Name:HAMBURGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4104 TEJON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1813
Mailing Address - Country:US
Mailing Address - Phone:303-381-3700
Mailing Address - Fax:303-477-4118
Practice Address - Street 1:4104 TEJON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1813
Practice Address - Country:US
Practice Address - Phone:303-381-3700
Practice Address - Fax:303-477-4118
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA0003534363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1740429976OtherNPI