DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA LYNN GARDOM, MATVI, CLVT, COMS

Active

2255R0406X · AURORA, CO

Registration Details

NPI Number
1407539927
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2023 (2.7001078632895 yrs)
Last Updated
Aug 10, 2023
Licenses
22576 (AZ)
5781 (AZ)

Practice Information

Address
4505 S PAGOSA CIR
AURORA, CO, 800151920
Browse CO providers · Browse ZIP 80015
Phone
9282453164
Primary Specialty
2255R0406X
2255R0406X
Additional Specialty
2255R0406X

Other 2255R0406X Providers in AURORA, CO

Name Credential NPI
MS. LAURIE ANN HALLMAN COMS, CVRT, CLVT 1508293143
EMILY JOUSTRA 1598460362
MISS ALYSSA LYNN LUCAS MS, COMS 1972294577
HEATHER SOLBERG CVRT, MSW 1073300737
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.