Healthcare Provider Details

I. General information

NPI: 1952393092
Provider Name (Legal Business Name): HOWARD BRIAN KRIEGER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE SUITE 240
DENVER CO
80220-3901
US

IV. Provider business mailing address

4545 E 9TH AVE SUITE 240
DENVER CO
80220-3901
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-6221
  • Fax: 303-320-6465
Mailing address:
  • Phone: 303-320-6221
  • Fax: 303-320-6465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number555
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: