Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036134283 | IL |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 036134283 | IL |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | CO41029 | CO |
N | 208000000X | Pediatrician | CO41029 | CO |
NPI | 1952334179 |
---|---|
Provider Name | Twee Thi Do |
First Address | Pueblo, CO 81008-2213 |
Second Address | Pueblo, CO 81008-2213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 08/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
68231024 | (05) | CO |