Provider Demographics
NPI:1972735488
Name:MCDONALD, ANGELA R (PA)
Entity Type:Individual
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First Name:ANGELA
Middle Name:R
Last Name:MCDONALD
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Gender:F
Credentials:PA
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Mailing Address - Street 1:6801 S YOSEMITE ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1406
Mailing Address - Country:US
Mailing Address - Phone:303-773-9000
Mailing Address - Fax:303-770-1449
Practice Address - Street 1:3260 E 104TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-4406
Practice Address - Country:US
Practice Address - Phone:303-773-9000
Practice Address - Fax:303-770-1449
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2017-01-11
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Provider Licenses
StateLicense IDTaxonomies
CO1959363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant