Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Marilyn Ann Gandolph, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1154388148

Mrs. Marilyn Ann Gandolph, PHYSICIANASSISTANT is a Medical Physician Assistant in Louisville, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2006

Practice location Address checks out

325 W S Boulder Rd Ste 101
Louisville, CO 80027-1130
Phone: (720) 519-1596
Fax: (720) 542-9408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 East Simpson St., Lafayette, CO 80026 — (720) 519-1596

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3015 (CO)

Record details

NPI number1154388148
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESMarch 17, 2018

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