Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 15236 | CO |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 15263 | CO |
NPI | 1356389993 |
---|---|
Provider Name | Dr. Darwin Jan Strickland |
First Address | Denver, CO 80260-5669 |
Second Address | Denver, CO 80260-5669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 24/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01152636 | (05) | CO |
D22819 | (02) | CO |