Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND.0000156 | CO |
NPI | 1053818419 |
---|---|
Provider Name | Dr. Hailee Dover |
First Address | Durango, CO 81301-4775 |
Second Address | Durango, CO 81301-4775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2018 |
Last Update Date | 11/04/2018 |