Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 40528 | CO |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 40528 | CO |
NPI | 1437141900 |
---|---|
Provider Name | James T Chapman |
First Address | Aurora, CO 80012-6165 |
Second Address | Aurora, CO 80012-6165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 07/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
79981712 | (05) | CO |
H63395 | (02) | CO |