Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 32378 | CO |
NPI | 1386650638 |
---|---|
Provider Name | Robert Slover |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 17/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01323781 | (05) | CO |