Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35134186 | OH |
N | 207X00000X | Orthopaedic Surgeon | DR.0061575 | CO |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DR.0061575 | CO |
NPI | 1265878599 |
---|---|
Provider Name | Dr. Marissa Daniels Jamieson |
First Address | Aurora, CO 80042-0429 |
Second Address | Denver, CO 80206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 31/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0303783 | (05) | OH |