Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 39571 | CO |
N | 208600000X | Surgeon | 39571 | CO |
Y | 2086X0206X | Surgical Oncologist | DR.0039571 | CO |
NPI | 1275627507 |
---|---|
Provider Name | Martin Mccarter |
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 | 03/10/2006 |
Last Update Date | 26/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
49104276 | (05) | CO |