Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | DR.0044071 | CO |
N | 208000000X | Pediatrician | 44071 | CO |
NPI | 1508858325 |
---|---|
Provider Name | Dr. Ann Machinsky Buell |
First Address | Aurora, CO 80042-0429 |
Second Address | Colorado Springs, CO 80907-7532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 19/11/2018 |