Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 44951 | CO |
N | 2080P0202X | Pediatric Cardiologist | 35-04-36022 | OH |
Y | 2080P0202X | Pediatric Cardiologist | 44951 | CO |
NPI | 1174574107 |
---|---|
Provider Name | Stephen R. Daniels |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 05/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03959716 | (05) | CO |