Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | DR.0055511 | CO |
NPI | 1023363751 |
---|---|
Provider Name | Dr. Petter Bjornstad |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 28/07/2018 |