Provider Demographics
NPI:1730331927
Name:DEFILIPPS GALLEHER, PATTI (PA-C)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:
Last Name:DEFILIPPS GALLEHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9197 GRANT ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4361
Mailing Address - Country:US
Mailing Address - Phone:303-450-3690
Mailing Address - Fax:303-962-1511
Practice Address - Street 1:1550 S POTOMAC ST
Practice Address - Street 2:SUITE 130
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5455
Practice Address - Country:US
Practice Address - Phone:303-360-0095
Practice Address - Fax:303-360-8088
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2011-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO534363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1022204OtherNCCPA