Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 38402 | CO |
NPI | 1003892746 |
---|---|
Provider Name | Dr. Douglas K Hammond |
First Address | Aurora, CO 80014-1622 |
Second Address | Aurora, CO 80014-1622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38120585 | (05) | CO |
H13789 | (02) | CO |