Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 6158 | CO |
Y | 213EG0000X | General Practice | 6158 | CO |
NPI | 1003887050 |
---|---|
Provider Name | Daniel Jay Neumann |
First Address | Wray, CO 80758-1725 |
Second Address | Wray, CO 80758-1725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2006 |
Last Update Date | 08/07/2007 |