Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | DR.0046622 | CO |
N | 207VX0201X | Gynecologic Oncologist | OS9614 | FL |
NPI | 1285671420 |
---|---|
Provider Name | Dr. Dirk P Pikaart |
First Address | Denver, CO 80291-1057 |
Second Address | Colorado Springs, CO 80909-4533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 26/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
82723273 | (05) | CO |
P00869073 | MEDICARE RAILROAD (01) | CO |