Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 46309 | CO |
NPI | 1083760680 |
---|---|
Provider Name | Dr. Audrey Prisca Dumas |
First Address | Denver, CO 80204-4597 |
Second Address | Denver, CO 80204-4507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 31/03/2021 |