Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 27439 | CO |
NPI | 1295726024 |
---|---|
Provider Name | Dr. Steven Rothenberg |
First Address | Denver, CO 80237-3486 |
Second Address | Denver, CO 80205-5503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2005 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0003634 | (05) | NM |
01274398 | (05) | CO |
10025550600 | (05) | NE |
1295726024 | (05) | MT |
1295726024 | (05) | SD |
1295726024 | (05) | WY |
14262 | (05) | ND |
693230 | (05) | AZ |