Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | DR.0059884 | CO |
NPI | 1346458197 |
---|---|
Provider Name | Dr. Angela Marie Poppe Ries |
First Address | Colorado Springs, CO 80906-3998 |
Second Address | Colorado Springs, CO 80906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 25/05/2018 |