Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 46091 | CO |
N | 208600000X | Surgeon | 46091 | CO |
Y | 2086S0127X | Trauma Surgeon | DR.0046091 | CO |
NPI | 1003000480 |
---|---|
Provider Name | Kevin Bradley Rothchild |
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 | 29/08/2007 |
Last Update Date | 30/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68680805 | (05) | CO |