Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | DR.0051711 | CO |
N | 208000000X | Pediatrician | 01065398A | IN |
N | 208000000X | Pediatrician | 57.012178 | OH |
NPI | 1023186301 |
---|---|
Provider Name | Leslie Susan Snyder Tourangeau |
First Address | Denver, CO 80217-0284 |
Second Address | Lone Tree, CO 80124-5522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 02/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DR.0051711 | COLORADO MEDICAL LICENSE (01) | CO |