Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 48567 | CO |
N | 207VX0201X | Gynecologic Oncologist | A73114 | CA |
NPI | 1073708848 |
---|---|
Provider Name | Dr. Margrit M Juretzka |
First Address | Denver, CO 80205-5437 |
Second Address | Denver, CO 80205-5437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 28/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020579 | KAISER COMMERCIAL NUMBER (01) | CO |
95321535 | (05) | CO |