Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 40976 | CO |
NPI | 1053490839 |
---|---|
Provider Name | Dr. Andrew J Nemechek |
First Address | Denver, CO 80210-5847 |
Second Address | Englewood, CO 80113-2737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11072253 | (05) | CO |