Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 36725 | CO |
NPI | 1013011386 |
---|---|
Provider Name | Dr. Tamara Kahn Rice |
First Address | Grand Junction, CO 81506-8714 |
Second Address | Grand Junction, CO 81501-2980 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 21/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01367259 | (05) | CO |
050083809 | RAILROAD MEDICARE (01) | CO |
126783300 | WYOMING MEDICAID (01) | WY |
G68467 | (02) |