Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | T08984 | CO |
NPI | 1043290547 |
---|---|
Provider Name | Dr. Stuart Saslow |
First Address | Durango, CO 81302-2467 |
Second Address | Durango, CO 81301-3647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 08/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01353747 | (05) | CO |
F39502 | (02) | CO |