Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 47004 | CO |
NPI | 1043431356 |
---|---|
Provider Name | Dr. Courtney N Hall |
First Address | Denver, CO 80247-1314 |
Second Address | Aurora, CO 80014-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 29/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019029 | KAISER COMMERCIAL NUMBER (01) | CO |
69408050 | (05) | CO |