Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 45769 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 61365 | CO |
N | 207RC0000X | Internist - Cardiovascular Disease | D56290 | MD |
NPI | 1003868209 |
---|---|
Provider Name | Glenn A Hirsch |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 23/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4105500350 | (02) | MD |
699206400 | (05) | MD |
7100227680 | (05) | KY |