Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 20602 | CO |
NPI | 1144246786 |
---|---|
Provider Name | Douglas E Hemler |
First Address | Golden, CO 80401-2263 |
Second Address | Golden, CO 80401-2263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 05/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E87814 | (02) | CO |