Healthcare Provider Details

I. General information

NPI: 1255500500
Provider Name (Legal Business Name): HOWARD B KRIEGER DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 05/04/2009
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 TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number555
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number555
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number555
License Number StateCO

VIII. Authorized Official

Name: DR. HOWARD B KRIEGER
Title or Position: OWNER
Credential: DPM
Phone: 303-320-6221