Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | PA.0006748 | CO |
NPI | 1225602931 |
---|---|
Provider Name | Morgan Dahms |
First Address | Colorado Springs, CO 80921-3805 |
Second Address | Colorado Springs, CO 80921-3805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2021 |
Last Update Date | 30/07/2021 |