Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | DR0057067 | CO |
NPI | 1023307048 |
---|---|
Provider Name | Joshua Yale Apple |
First Address | Fort Collins, CO 80525-1307 |
Second Address | Fort Collins, CO 80528-4601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2011 |
Last Update Date | 05/04/2018 |