Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 49174 | CO |
NPI | 1063617454 |
---|---|
Provider Name | Dr. Ling Ma |
First Address | Greenwood Village, CO 80111-4726 |
Second Address | Lakewood, CO 80228-1713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 03/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52637271 | (05) | CO |