Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 39203 | CO |
NPI | 1093764326 |
---|---|
Provider Name | Dr. Steve Eric Doerr |
First Address | Denver, CO 80206-4519 |
Second Address | Wheat Ridge, CO 80033-6005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 30/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H65621 | (02) | CO |