Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | DR.0038494 | CO |
Y | 207RX0202X | Medical Oncology | DR.0038494 | CO |
NPI | 1083660708 |
---|---|
Provider Name | Dr. Diana C Medgyesy |
First Address | Fort Collins, CO 80528-3400 |
Second Address | Fort Collins, CO 80528-3400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 30/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
83679561 | (05) | CO |
H29534 | (02) |