Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 20250 | CO |
Y | 207RP1001X | Pulmonary Disease | 20250 | CO |
NPI | 1427052943 |
---|---|
Provider Name | Robert D Oakley |
First Address | Englewood, CO 80113-2793 |
Second Address | Englewood, CO 80113-2793 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01202506 | (05) | CO |
E23309 | (02) | CO |