Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 32931 | CO |
NPI | 1144389123 |
---|---|
Provider Name | Dr. Peter Bredan Cahill |
First Address | Denver, CO 80247-1314 |
Second Address | Aurora, CO 80014-1622 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01329317 | (05) | CO |
022453 | KAISER COMMERCIAL NUMBER (01) | CO |
F25750 | (02) | CO |