Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 125059546 | IL |
N | 208600000X | Surgeon | 125059546 | IL |
N | 208200000X | Surgeon | DR.0058888 | CO |
N | 208600000X | Surgeon | DR.0058888 | CO |
Y | 2086S0102X | Surgical Critical Care | DR.0058888 | CO |
NPI | 1295024370 |
---|---|
Provider Name | Gregory Michael Day |
First Address | Loveland, CO 80538-9071 |
Second Address | Colorado Springs, CO 80909-5533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2011 |
Last Update Date | 24/07/2017 |