Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57.022926 | OH |
Y | 207YP0228X | Pediatric Otolaryngology | DR.0060500 | CO |
NPI | 1093865594 |
---|---|
Provider Name | Christian Ray Francom |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 12/08/2019 |