Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 38292 | CO |
NPI | 1013956812 |
---|---|
Provider Name | Rachel A Gaffney |
First Address | Broomfield, CO 80021-3408 |
Second Address | Denver, CO 80218-3666 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 20/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
48505331 | (05) | CO |
H30817 | (02) |