Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 2415 | CO |
NPI | 1558613729 |
---|---|
Provider Name | Robert Hill Michals |
First Address | Centennial, CO 80015-2301 |
Second Address | Denver, CO 80237-1418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2012 |
Last Update Date | 11/10/2012 |