Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036089507 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 46905 | CO |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 46905 | CO |
NPI | 1598793135 |
---|---|
Provider Name | Robert Hammer |
First Address | Golden, CO 80401-5027 |
Second Address | Golden, CO 80401-5027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 20/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64900053 | (05) | CO |
98235869 | (05) | CO |
G53576 | (02) |