Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | DR.0060450 | CO |
NPI | 1013354885 |
---|---|
Provider Name | Dr. Keith Murray Mcnab |
First Address | Fort Collins, CO 80521-2028 |
Second Address | Fort Collins, CO 80521-2028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2013 |
Last Update Date | 30/06/2018 |