Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A156149 | CA |
N | 207X00000X | Orthopaedic Surgeon | DR.0066284 | CO |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | DR.0066284 | CO |
NPI | 1518328483 |
---|---|
Provider Name | Eric Thompson Basler |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2016 |
Last Update Date | 22/09/2021 |