Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 22136 | MD |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0052382 | CO |
NPI | 1407059546 |
---|---|
Provider Name | Dr. Stuart Hopper Myers |
First Address | Aurora, CO 80012-4540 |
Second Address | Aurora, CO 80012-4540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 06/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
92503365 | (05) | CO |