Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 57734 | CA |
Y | 1223E0200X | Endodontist | 00203031 | CO |
N | 1223E0200X | Endodontist | 0401414520 | VA |
N | 1223E0200X | Endodontist | 57734 | CA |
NPI | 1154573020 |
---|---|
Provider Name | Dr. Bryan Lee Horspool |
First Address | Colorado Springs, CO 80918-8902 |
Second Address | Colorado Springs, CO 80918-8926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 04/05/2017 |