Doctor Name: | RENATA RAZIANO |
NPI Number: | 1528105814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | TL-1982 |
Business Practice Address: | 1563 Ogden Rd Montrose, CO - 814015683 |
Business Phone Number: | 9709644036 |
Business Fax Number: | 9709644038 |
Mailing Address: | 2233 E Main St, C/o Business Options Medical Billing MONTROSE |
State: | CO |
Postal Code: | 814013831 |
Phone Number: | 9704978416 |
Fax Number: | 9704978410 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TL-1982 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |