Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 39 | UT |
NPI | 1003053109 |
---|---|
Provider Name | Dr. Anne Wierman Estares |
First Address | Colorado Springs, CO 80907-6262 |
Second Address | Salt Lake City, UT 84132-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2009 |
Last Update Date | 23/01/2020 |