Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 41548 | CO |
NPI | 1013946672 |
---|---|
Provider Name | Dr. Julie Gaca |
First Address | Denver, CO 80217-5525 |
Second Address | Vail, CO 81657-5242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 02/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
61408379 | (05) | CO |
G57190 | (02) |