Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 22799 | CO |
N | 111NI0900X | Internist | 22799 | CO |
N | 207RA0401X | Internist - Addiction Medicine | 22799 | CO |
NPI | 1992720817 |
---|---|
Provider Name | Dr. Ivor Garlick |
First Address | Denver, CO 80231-2155 |
Second Address | Denver, CO 80231-2155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01227990 | (05) | CO |
D24159 | (02) |