Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2178 | CO |
NPI | 1003957499 |
---|---|
Provider Name | Dr. Susan Rufena Strader |
First Address | Littleton, CO 80123-2737 |
Second Address | Littleton, CO 80123-2737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 26/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U94944 | (02) | CO |