Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YP0228X | Pediatric Otolaryngology | 054219 | GA |
Y | 207YP0228X | Pediatric Otolaryngology | DR.0059827 | CO |
NPI | 1548241375 |
---|---|
Provider Name | Dr. Brian W. Herrmann |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 31/08/2018 |