Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 43553 | CO |
NPI | 1003889833 |
---|---|
Provider Name | Giancarlo Checa |
First Address | Arvada, CO 80001-0668 |
Second Address | Englewood, CO 80112-3861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
81783558 | (05) | CO |