Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CHR0008378 | CO |
NPI | 1023692902 |
---|---|
Provider Name | Dr. Branden Robert Ramos |
First Address | Loveland, CO 80537-5000 |
Second Address | Loveland, CO 80537-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2021 |
Last Update Date | 07/05/2021 |