Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 38262 | CO |
NPI | 1619023298 |
---|---|
Provider Name | Jean Urquhart |
First Address | Edwards, CO 81632-2606 |
Second Address | Eagle, CO 81631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 01/05/2013 |