Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1891151742 |
---|---|
Provider Name | Ruth Shepard Trode |
First Address | Wheat Ridge, CO 80215-6545 |
Second Address | Wheat Ridge, CO 80215-6545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2016 |
Last Update Date | 07/01/2016 |