Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 6026959-1205 | UT |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 0101248139 | VA |
NPI | 1225244122 |
---|---|
Provider Name | Colleen H. Druzgal |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 10/11/2010 |