Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | DR.0029841 | CO |
N | 207RP1001X | Pulmonary Disease | 29641 | CO |
NPI | 1073657771 |
---|---|
Provider Name | Dr. Rebecca L Mortenson - Meese |
First Address | Denver, CO 80247-1314 |
Second Address | Englewood, CO 80113-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007027 | KAISER-COMMERCIAL NUMBER (01) | |
01298413 | (05) | CO |
E88680 | (02) | CO |