Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 5604 | CO |
NPI | 1447408356 |
---|---|
Provider Name | Dr. John Tortora |
First Address | Denver, CO 80209 |
Second Address | Denver, CO 80209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 04/09/2008 |