Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 36759 | WA |
N | 207RP1001X | Pulmonary Disease | 36759 | WA |
Y | 207RP1001X | Pulmonary Disease | 49289 | CO |
N | 207RS0012X | Sleep Medicine | 49289 | CO |
NPI | 1013009133 |
---|---|
Provider Name | Dr. John Paul Wilkins |
First Address | Denver, CO 80247-1314 |
Second Address | Lone Tree, CO 80124-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021376 | KAISER COMMERCIAL NUMBER (01) | CO |
14653567 | (05) | CO |
F48048 | (02) | CO |