Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 41402 | CO |
NPI | 1033105531 |
---|---|
Provider Name | James Young Rhee |
First Address | Lakewood, CO 80227-5122 |
Second Address | Littleton, CO 80120-5641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 13/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17525811 | (05) | CO |
COA109240 | MEDICARE (01) | CO |