Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 27226 | CO |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 27226 | CO |
NPI | 1043354764 |
---|---|
Provider Name | Dr. Alan J Rastrelli |
First Address | Denver, CO 80218-1126 |
Second Address | Denver, CO 80218-1126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 25/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004080 | KAISER-COMMERCIAL NUMBER (01) | |
01272269 | (05) | CO |
B50746 | (02) | CO |