Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 60645 | CO |
NPI | 1003175571 |
---|---|
Provider Name | Mona Sadeghpour |
First Address | Lone Tree, CO 80124-5525 |
Second Address | Lone Tree, CO 80124-5525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 28/07/2020 |