Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 56493 | CO |
Y | 207RG0100X | Gastroenterologist | FE 60356665 | WA |
NPI | 1023338654 |
---|---|
Provider Name | Dr. Andrew Steffes Korson |
First Address | Lakewood, CO 80227-5122 |
Second Address | Lakewood, CO 80214-5433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2010 |
Last Update Date | 27/06/2016 |