Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | DR.0062812 | CO |
N | 208600000X | Surgeon | DR.0062812 | CO |
Y | 2086S0122X | Plastic and Reconstructive Surgery | DR.0062812 | CO |
NPI | 1043521065 |
---|---|
Provider Name | Dr. Christodoulos Kaoutzanis |
First Address | Aurora, CO 80045 |
Second Address | Aurora, CO 80045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 20/11/2019 |