Most Relevant Information
Provider Data
| NPI Number: | 1003833864 |
| Provider Name: | THIA A GONZALES PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1451 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 03/25/2021 |
Provider Practice Location
777 BANNOCK ST
MC 7782
DENVER
CO
802044507
Practice Location Phone/Fax
| Phone: | 3034366000 |
| Fax: |
Provider Mailing Location
777 BANNOCK ST
MC 7782
DENVER
CO
802044507
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |