Healthcare Provider Details

I. General information

NPI: 1902826068
Provider Name (Legal Business Name): ARLEN DAVID MEYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 E 9TH AVE B-205
DENVER CO
80262-0001
US

IV. Provider business mailing address

4200 E 9TH AVE B-205
DENVER CO
80262-0001
US

V. Phone/Fax

Practice location:
  • Phone: 303-315-8642
  • Fax: 303-315-8787
Mailing address:
  • Phone: 303-315-8642
  • Fax: 303-315-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number20485
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: