Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0056819 | CO |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 55808 | MN |
NPI | 1013279884 |
---|---|
Provider Name | Drew M Trainor |
First Address | Greenwood Village, CO 80111-2603 |
Second Address | Greenwood Village, CO 80111-2603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 02/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P01210647 | MEDICARE RAILROAD (01) | MN |