Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PTL0007791 | CO |
NPI | 1053805192 |
---|---|
Provider Name | Britt Garcia |
First Address | Boulder, CO 80305-5716 |
Second Address | Boulder, CO 80303-3828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2018 |
Last Update Date | 21/06/2018 |