Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 266860 | MA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 69256 | MN |
N | 207YP0228X | Pediatric Otolaryngology | 266860 | MA |
N | 207YP0228X | Pediatric Otolaryngology | 69256 | MN |
NPI | 1164871109 |
---|---|
Provider Name | Dr. Rebecca Compton |
First Address | Minneapolis, MN 55404-4518 |
Second Address | Minneapolis, MN 55404-4518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2016 |
Last Update Date | 19/05/2021 |