Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | DR.0058882 | CO |
NPI | 1003236852 |
---|---|
Provider Name | Eric Wu |
First Address | Denver, CO 80217-3891 |
Second Address | Colorado Springs, CO 80909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 27/03/2021 |