Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CHR-5480 | CO |
NPI | 1184813404 |
---|---|
Provider Name | Dr. Elizabeth M Mclean |
First Address | Denver, CO 80206-5810 |
Second Address | Denver, CO 80206-5810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2007 |
Last Update Date | 23/10/2007 |