Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | ME93149 | FL |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DR.0052256 | CO |
NPI | 1720058860 |
---|---|
Provider Name | Jay C Albright |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 29/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273053700 | (05) | FL |
I07808 | (02) | FL |