Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 30758 | CO |
NPI | 1003878521 |
---|---|
Provider Name | David R. Ladd |
First Address | Englewood, CO 80110-2330 |
Second Address | Englewood, CO 80110-2330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 01/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01307586 | (05) | CO |
10026289700 | (05) | NE |
101223100 | (05) | WY |
E87835 | (02) | CO |