Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 439 | CO |
NPI | 1003943069 |
---|---|
Provider Name | Jane N Oerter |
First Address | Westminster, CO 80234-2806 |
Second Address | Westminster, CO 80234-2806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 06/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009280 | KAISER-COMMERCIAL NUMBER (01) | |
01084208 | (05) | CO |
S81772 | (02) | CO |