Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | DR.0058831 | CO |
NPI | 1083935456 |
---|---|
Provider Name | Dr. Jose Maria Pacheco |
First Address | Aurora, CO 80045 |
Second Address | Aurora, CO 80045-2517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2010 |
Last Update Date | 17/03/2018 |