Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | DR.0057329 | CO |
Y | 2080P0216X | Pediatric Rheumatologist | DR.0057329 | CO |
NPI | 1558329466 |
---|---|
Provider Name | Dr. Robert Conrad Fuhlbrigge |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 30/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G13758 | (02) | MA |