Dr. Amy Blake Susnow
Clinical Genetics (M.D.)
2045 N Franklin St
Denver
, Colorado 80205-5437
Dr. Amy Blake Susnow
Clinical Genetics (M.D.)
2045 N Franklin St
Denver
, Colorado 80205-5437
(303) 338-4545
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Amy Blake Susnow
- 10350 E Dakota Ave
- Denver, CO
- Zip : 80247-1314
- Phone : (303) 338-4545
Second Address
- Dr. Amy Blake Susnow
- 2045 N Franklin St
- Denver, CO
- Zip : 80205-5437
- Phone : (303) 338-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | DR.0058101 | CO |
National Provider Identifier
| NPI | 1043246994 |
|---|---|
| Provider Name | Dr. Amy Blake Susnow |
| First Address | Denver, CO 80247-1314 |
| Second Address | Denver, CO 80205-5437 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 25/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 028673 | KAISER COMMERCIAL NUMBER (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.