Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 9592 | CO |
NPI | 1033314497 |
---|---|
Provider Name | Dr. Donald James Hull |
First Address | Colorado Springs, CO 80920-1022 |
Second Address | Colorado Springs, CO 80920-1022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2007 |
Last Update Date | 29/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35397 | (02) | CO |