Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 14847 | CO |
NPI | 1003883893 |
---|---|
Provider Name | William A Munson |
First Address | Colorado Springs, CO 80907-7533 |
Second Address | Colorado Springs, CO 80907-7533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01148477 | (05) | CO |
D22734 | (02) |