Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 16568 | CO |
NPI | 1013965144 |
---|---|
Provider Name | Sebastian Robert Contiguglia |
First Address | Denver, CO 80220 |
Second Address | Denver, CO 80220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01165687 | (05) | CO |
E58271 | (02) |