Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 18408 | CO |
NPI | 1053349035 |
---|---|
Provider Name | Richard A Rein |
First Address | Lakewood, CO 80215-3812 |
Second Address | Aurora, CO 80012-4526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 18/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01184084 | (05) | CO |
100010389 | RAILROAD MEDICARE (01) | CO |
E58280 | (02) | CO |