Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 23000 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | 23000 | CO |
Y | 207RI0011X | Interventional Cardiology | 23000 | CO |
NPI | 1760402655 |
---|---|
Provider Name | Dr. Ira Mitchell Dauber |
First Address | Littleton, CO 80120-5654 |
Second Address | Littleton, CO 80120-5654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D24189 | (02) |