Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 23561 | CO |
Y | 208600000X | Surgeon | 23561 | CO |
NPI | 1013924869 |
---|---|
Provider Name | Dr. Alan B Rosenberger |
First Address | Westminster, CO 80023-9206 |
Second Address | Westminster, CO 80031-3844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 27/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01235613 | (05) | CO |
101377700 | (05) | WY |
D-24290 | (02) | CO |