ANGELINA KELLY VISCARDI WALLER

ORTHOPEDIC CENTERS OF COLORADO LLC

Dr ANGELINA KELLY VISCARDI WALLER is a female medical professional, specializing in Physician Assistant. She graduated in 2005.

Contact

ORTHOPEDIC CENTERS OF COLORADO LLC

1411 S POTOMAC ST
400 COLORADO ORTHOPEDIC CONSULTANTS
AURORA
CO
800124540

Tel: 3036956060

ANGELINA KELLY VISCARDI WALLER Information

Npi 1417061821
Pac Id 5193036044
Professional Enrollment Id I20150618000764
Last Name WALLER
First Name ANGELINA
Middle Name KELLY VISCARDI
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ORTHOPEDIC CENTERS OF COLORADO LLC
Group Practice Pac Id 2365714540
Number Of Group Practice Members 144
Line 1 Street Address 1411 S POTOMAC ST
Line 2 Street Address 400 COLORADO ORTHOPEDIC CONSULTANTS
Marker Of Address Line 2 Suppression
City AURORA
State CO
Zip Code 800124540
Phone Number 3036956060
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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