Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 39975 | CO |
N | 207RH0002X | Hospice and Palliative Medicine | 39975 | CO |
NPI | 1255305363 |
---|---|
Provider Name | Dr. Susan Teresa Bray-Hall |
First Address | Denver, CO 80246-3048 |
Second Address | Denver, CO 80220-3808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 18/10/2016 |