Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 41600 | CO |
NPI | 1003893298 |
---|---|
Provider Name | Andrea L Grilli |
First Address | Denver, CO 80203-4400 |
Second Address | Denver, CO 80203-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 18/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100641680A | (05) | KS |
10876324 | (05) | CO |
118466100 | (05) | WY |
3506685 | (05) | MT |
84113438513 | (05) | NE |
96954728 | (05) | NM |
H81423 | (02) | CO |