Individual provider · Type 1 NPI

Jacob Roddy

Surgical Physician Assistant · Englewood, CO

NPI number 1972186161 Active

Practice location

175 Inverness Dr W Ste 200
Englewood, CO 80112-5069

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 13001 E 17th Pl, Aurora, CO 80045-2570 · (303) 724-7963

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA.0007444 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1972186161

Jacob Roddy's National Provider Identifier is 1972186161, issued on May 4, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Englewood, CO. The record was last updated on Oct 14, 2022.