Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD.204096 | LA |
N | 208600000X | Surgeon | MD.204096 | LA |
Y | 2086X0206X | Surgical Oncologist | DR.0062629 | CO |
N | 2086X0206X | Surgical Oncologist | MD.204096 | LA |
NPI | 1275750978 |
---|---|
Provider Name | Dr. John Blair Hamner |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 06/09/2019 |