Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 18299 | CO |
NPI | 1104851351 |
---|---|
Provider Name | Dr. Edward B Arenson |
First Address | Denver, CO 80202-6178 |
Second Address | Englewood, CO 80113-3878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 06/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09759867 | (05) | CO |
B82101 | (02) | CO |