Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 20832 | CO |
NPI | 1073579728 |
---|---|
Provider Name | Susan A Sherman |
First Address | Aurora, CO 80011 |
Second Address | Aurora, CO 80011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 16/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01208321 | (05) | CO |
D28262 | (02) | CO |