Provider Demographics
NPI:1265517569
Name:WOJCIECHOWSKI, MARCIA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:LYNN
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:PO BOX 172263
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-2263
Mailing Address - Country:US
Mailing Address - Phone:720-441-4021
Mailing Address - Fax:720-360-1195
Practice Address - Street 1:10099 RIDGEGATE PKWY STE 480
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5537
Practice Address - Country:US
Practice Address - Phone:720-441-4021
Practice Address - Fax:720-360-1195
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPAL-2318363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant