Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 48605 | CO |
N | 207R00000X | Internist | 48605 | CO |
N | 111NI0900X | Internist | 48605 | CO |
NPI | 1184795395 |
---|---|
Provider Name | Yoshikazu Morimoto |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
56528736 | (05) | CO |
I44530 | (02) | CO |