Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | DR-45221 | CO |
Y | 208600000X | Surgeon | DR-45221 | CO |
N | 2086S0102X | Surgical Critical Care | DR.0045221 | CO |
NPI | 1174643290 |
---|---|
Provider Name | Christopher Zaw-Mon |
First Address | Wheat Ridge, CO 80033-6028 |
Second Address | Golden, CO 80401-5027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 18/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FZ0133188 | DEA (01) | CO |