Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | DR.0061265 | CO |
NPI | 1073956033 |
---|---|
Provider Name | Dr. Corrie Joy Alonzo |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80218-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028925 | KAISER COMMERCIAL NUMBER (01) | CO |