Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | DR.00058779 | CO |
NPI | 1003234535 |
---|---|
Provider Name | Dr. Heather Nicole Orth |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80218-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 14/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028402 | KAISER COMMERCIAL NUMBER (01) | CO |