Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 34223 | CO |
NPI | 1003871468 |
---|---|
Provider Name | David Reinhard |
First Address | Aurora, CO 80012-6165 |
Second Address | Aurora, CO 80012-6165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 09/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01342237 | (05) | CO |
F23386 | (02) | CO |