Provider Demographics
NPI:1316460934
Name:SILVERMAN, GABRIELLE HOTZ (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:HOTZ
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-8706
Mailing Address - Country:US
Mailing Address - Phone:970-626-5123
Mailing Address - Fax:970-626-9783
Practice Address - Street 1:295 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432-8706
Practice Address - Country:US
Practice Address - Phone:970-626-5123
Practice Address - Fax:970-626-9783
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0004962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine