Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 28902 | CO |
Y | 207Q00000X | Family Doctor | 28902 | CO |
NPI | 1346250859 |
---|---|
Provider Name | Dr. Linda Marie Case |
First Address | Colorado Springs, CO 80962-3252 |
Second Address | Usafa, CO 80840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 16/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F44092 | (02) | CO |