Organization Name: | AURORA WOMANCARE PC |
NPI Number: | 1952598005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE A NANNIE (OFFICE MANAGER) |
Mailing Address: | 3035 S Parker Rd Suite 562 Aurora |
State: | CO US |
Postal Code: | 800142926 |
Phone Number: | 3036716110 |
Fax Number: | 3033697673 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 33621RTSL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |