Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 21284 | CO |
NPI | 1104095264 |
---|---|
Provider Name | Dr. Leo Stelzer JR. |
First Address | Denver, CO 80205-5437 |
Second Address | Denver, CO 80205-5437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2008 |
Last Update Date | 16/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003685 | KAISER COMMERCIAL NUMBER (01) | CO |
01212836 | (05) | CO |
D23912 | (02) | CO |