Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP1-0026274 | TX |
N | 111NI0900X | Internist | BP1-0026274 | TX |
N | 207RG0100X | Gastroenterologist | DO1252 | AL |
Y | 207RG0100X | Gastroenterologist | DR.0053021 | CO |
NPI | 1023212602 |
---|---|
Provider Name | Dr. Catherine Noelle O'shea |
First Address | Colorado Springs, CO 80924-8117 |
Second Address | Colorado Springs, CO 80924-8117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 22/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3858306751 | MYUTMB 3858306751-COMMERCIAL NUMBER (01) |