Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 43753 | CO |
N | 208000000X | Pediatrician | 43753 | CO |
Y | 2080P0201X | Pediatric Allergist | DR.0043753 | CO |
NPI | 1386724615 |
---|---|
Provider Name | David M Fleischer |
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 | 17/10/2006 |
Last Update Date | 04/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43674534 | (05) | CO |
H79386 | (02) | CO |