Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | POD.0000825 | CO |
N | 222Z00000X | Podiatrist | POD.0000825 | CO |
N | 213EP0504X | Public Medicine | POD.0000825 | CO |
N | 213EP1101X | Primary Podiatric Medicine | POD.0000825 | CO |
N | 111NR0200X | Radiology | POD.0000825 | CO |
N | 213ER0200X | Radiology | POD.0000825 | CO |
N | 2081S0010X | Sports Medicine | POD.0000825 | CO |
N | 213ES0000X | Sports Medicine | POD.0000825 | CO |
Y | 213ES0103X | Foot & Ankle Surgery | POD.0000825 | CO |
N | 213ES0131X | Foot Surgery | POD.0000825 | CO |
NPI | 1639580293 |
---|---|
Provider Name | Dr. Meredith Rawa |
First Address | Fort Collins, CO 80524-4374 |
Second Address | Fort Collins, CO 80524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2014 |
Last Update Date | 11/12/2018 |