Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 29377 | CO |
NPI | 1124070735 |
---|---|
Provider Name | Dr. Elizabeth W Herr |
First Address | Denver, CO 80205-3972 |
Second Address | Denver, CO 80205-3972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 16/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01293778 | (05) | CO |
E46958 | (02) | CO |