Healthcare Provider Details

I. General information

NPI: 1881629293
Provider Name (Legal Business Name): DANIEL J MACFARLANE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 E HARVARD AVE SUITE 100
DENVER CO
80210-7007
US

IV. Provider business mailing address

950 E HARVARD AVE SUITE 100
DENVER CO
80210-7007
US

V. Phone/Fax

Practice location:
  • Phone: 303-783-2554
  • Fax: 303-996-1336
Mailing address:
  • Phone: 303-783-2554
  • Fax: 303-996-1336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number549
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: