Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 33572 | CO |
Y | 207QS0010X | Family Doctor - Sports Medicine | DR.0033572 | CO |
NPI | 1306951389 |
---|---|
Provider Name | John C. Hill |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01335728 | (05) | CO |
E24101 | (02) | |
P00023411 | MEDICARE RAILROAD (01) | CO |