Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 237820 | MA |
Y | 207PP0204X | Pediatric Emergency Physician | DR.0056156 | CO |
N | 208000000X | Pediatrician | A98721 | CA |
NPI | 1407030331 |
---|---|
Provider Name | Elizabeth Ann Coray |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 13/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
237820 | MASSACHUSETTS MEDICAL LICENSE (01) | MA |
DR.0056156 | COLORADO MEDICAL LICENSE (01) | CO |