Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | MD60948421 | WA |
NPI | 1134430994 |
---|---|
Provider Name | Dr. Michelle Genevieve Young Sobremonte-King |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2010 |
Last Update Date | 20/11/2019 |