Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 24464 | CO |
NPI | 1033211990 |
---|---|
Provider Name | Norman K Fujita |
First Address | Wheat Ridge, CO 80034-1449 |
Second Address | Wheat Ridge, CO 80033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 01/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01244649 | (05) | CO |
C36035 | (02) | CO |