Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | DR.0055126 | CO |
Y | 208600000X | Surgeon | DR.0055126 | CO |
N | 2082S0105X | Plastic Hand Surgeon | DR.0055126 | CO |
N | 208200000X | Surgeon | DR.0055126 | CO |
N | 208600000X | Surgeon | DR.0055126 | CO |
N | 2086S0122X | Plastic and Reconstructive Surgery | DR.0055126 | CO |
NPI | 1467654376 |
---|---|
Provider Name | Tanya Monique Oswald |
First Address | Englewood, CO 80113-3792 |
Second Address | Englewood, CO 80113-3792 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2007 |
Last Update Date | 22/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
46987291 | (05) | CO |