Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 48589 | CO |
NPI | 1154467793 |
---|---|
Provider Name | Dr. Mandi L Beman |
First Address | Denver, CO 80246 |
Second Address | Denver, CO 80209-3176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 29/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12539872 | (05) | CO |
COA101878 | (02) | CO |