Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 22086 | CO |
NPI | 1053334961 |
---|---|
Provider Name | Dr. Barbara J Quissell |
First Address | Denver, CO 80218-1216 |
Second Address | Denver, CO 80218-1216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1220862 | (05) | CO |
E54501 | (02) | CO |