Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 26598 | CO |
Y | 207RH0002X | Hospice and Palliative Medicine | 26598 | CO |
NPI | 1316052392 |
---|---|
Provider Name | David Nowels |
First Address | Aurora, CO 80042-0429 |
Second Address | Denver, CO 80238-3323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 04/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01265982 | (05) | CO |