Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1528147584 |
---|---|
Provider Name | Mr. Robert T Mccalmon JR. |
First Address | Denver, CO 80220-5841 |
Second Address | Denver, CO 80220-5841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |