Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 99 | CO |
NPI | 1093896649 |
---|---|
Provider Name | Dr. Louis Wolfe Spaner |
First Address | Centennial, CO 80122-1532 |
Second Address | Centennial, CO 80122-1532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 10/03/2016 |