Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 40123 | CO |
NPI | 1285611384 |
---|---|
Provider Name | Daniel M Donato |
First Address | Greenwood Village, CO 80111-4723 |
Second Address | Denver, CO 80220-4020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 03/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80983049 | (05) | CO |
D60993 | (02) |