Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0207X | Pediatric Hematology-Oncologist | 35.097601 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | DR.0052170 | CO |
N | 2080P0207X | Pediatric Hematology-Oncologist | M9228 | TX |
NPI | 1225228182 |
---|---|
Provider Name | Dr. Carrye Rudolph Cost |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 16/07/2013 |