Provider Demographics
NPI:1750459871
Name:ZIEGER, BRUCE KEVIN (PA)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:KEVIN
Last Name:ZIEGER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1421 S POTOMAC ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4535
Mailing Address - Country:US
Mailing Address - Phone:303-750-1920
Mailing Address - Fax:303-750-0483
Practice Address - Street 1:1421 S POTOMAC ST
Practice Address - Street 2:SUITE 320
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4535
Practice Address - Country:US
Practice Address - Phone:303-750-1920
Practice Address - Fax:303-750-0483
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO822363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical