Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 44588 | CO |
N | 207VX0000X | Obstetrician | DR.0044588 | CO |
NPI | 1336287796 |
---|---|
Provider Name | Dr. Toby John Genrich |
First Address | Colorado Springs, CO 80923-2607 |
Second Address | Colorado Springs, CO 80923-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 23/04/2021 |