Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 37679 | CO |
NPI | 1295745925 |
---|---|
Provider Name | Eric S Surrey |
First Address | Englewood, CO 80113-2700 |
Second Address | Englewood, CO 80113-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A42545 | (02) | CO |