Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 47869 | CO |
NPI | 1043424732 |
---|---|
Provider Name | Dr. Douglas George Orndorff |
First Address | Durango, CO 81301-7306 |
Second Address | Durango, CO 81301-7306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 20/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21501084 | (05) | NM |
26703327 | (05) | CO |
CO305379 | MEDICARE PTAN (01) | CO |