Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 43568 | CO |
NPI | 1043325624 |
---|---|
Provider Name | Andrea Krumholz Salzberg |
First Address | Golden, CO 80401 |
Second Address | Lakewood, CO 80401-3413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 18/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16134362 | (05) | CO |
I39799 | (02) |