Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 23164 | CO |
NPI | 1417926403 |
---|---|
Provider Name | Dr. Bruce Henry Albrecht |
First Address | Englewood, CO 80112-5999 |
Second Address | Englewood, CO 80112-5999 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 27/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01231646 | (05) | CO |
B98730 | (02) |