Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2534 | CO |
NPI | 1013027291 |
---|---|
Provider Name | Dr. Paige Michelle Paddock |
First Address | Louisville, CO 80027-2124 |
Second Address | Arvada, CO 80005-1684 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 15/05/2013 |