Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0101254939 | VA |
N | 208D00000X | General Practice Physician | 0101254939 | VA |
NPI | 1023373164 |
---|---|
Provider Name | Michael David April |
First Address | Fort Carson, CO 80913-4613 |
Second Address | Fort Carson, CO 80913-4613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2012 |
Last Update Date | 04/03/2021 |