Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DR.0054765 | CO |
NPI | 1285954701 |
---|---|
Provider Name | Dr. Susan Elizabeth Wilhoit |
First Address | Arvada, CO 80003-1928 |
Second Address | Arvada, CO 80003-1928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 08/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
026795 | KAISER COMMERCIAL NUMBER (01) | CO |
165516 | STUDENT MEDICAL LICENSE (01) | NC |
82559511 | (05) | CO |