Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | DR.0044097 | CO |
N | 208000000X | Pediatrician | 44097 | CO |
NPI | 1043293350 |
---|---|
Provider Name | Dr. Melissa Kay Ewer |
First Address | Aurora, CO 80042-0429 |
Second Address | Colorado Springs, CO 80920-7922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 19/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200382740 | (05) | IN |
H72836 | (02) |