Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 25858 | CO |
NPI | 1134175896 |
---|---|
Provider Name | Dr. Beverly Ann Anderson |
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 | 25/05/2006 |
Last Update Date | 08/07/2007 |