Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 49658 | CO |
NPI | 1225234172 |
---|---|
Provider Name | Dr. Shira Gail Fishman |
First Address | Denver, CO 80224-1019 |
Second Address | Denver, CO 80205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 14/09/2011 |