Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 39878 | CO |
NPI | 1003074568 |
---|---|
Provider Name | Dr. William Julius Klein JR. |
First Address | Colorado Springs, CO 80906-5869 |
Second Address | Colorado Springs, CO 80906-5869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/05/2008 |