Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 0006568 | CO |
Y | 208600000X | Surgeon | 0006568 | CO |
NPI | 1013443787 |
---|---|
Provider Name | Dr. Graham Litchman |
First Address | Henderson, NV 89012-5603 |
Second Address | Lone Tree, CO 80124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2017 |
Last Update Date | 02/05/2017 |