Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | #989 | CO |
NPI | 1558341651 |
---|---|
Provider Name | Dr. Raymond John Hill |
First Address | Colorado Springs, CO 80918-7857 |
Second Address | Colorado Springs, CO 80918-7857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07025471 | (05) | CO |