Individual provider · Type 1 NPI

Timothy A. Mackie, PA

Surgical Physician Assistant · Thornton, CO

NPI number 1689655466 Active

Practice location

13631 Colorado Blvd
Thornton, CO 80602-7051

Fax (303) 252-2964

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1718 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1689655466

Timothy A. Mackie, PA's National Provider Identifier is 1689655466, issued on Nov 9, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Thornton, CO. The record was last updated on Nov 3, 2021.