Provider Demographics
NPI:1902305741
Name:SAWATZKY, ALLISON JENNA (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JENNA
Last Name:SAWATZKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S POTOMAC ST STE 230
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5448
Mailing Address - Country:US
Mailing Address - Phone:303-369-1077
Mailing Address - Fax:888-395-0545
Practice Address - Street 1:1550 S POTOMAC ST STE 230
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5448
Practice Address - Country:US
Practice Address - Phone:303-369-1077
Practice Address - Fax:888-395-0545
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11773363A00000X
COPA.0006012363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant