Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 35.098497 | OH |
Y | 208C00000X | Colorectal Surgeon | DR.0056070 | CO |
NPI | 1386973675 |
---|---|
Provider Name | Andrea Bischoff |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 20/12/2019 |