Individual
ERICA M. DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
135889
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0048869
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52172287
—
CO
01
—
P01116561
RAILROAD MEDICARE
CO
Enumeration date
05/16/2008
Last updated
07/02/2015
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