Healthcare Provider Details

I. General information

NPI: 1811972839
Provider Name (Legal Business Name): ROBERT STEVEN FEEHS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 415
ENGLEWOOD CO
80113-2759
US

IV. Provider business mailing address

701 E HAMPDEN AVE STE 415
ENGLEWOOD CO
80113-2759
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-7880
  • Fax: 303-788-7883
Mailing address:
  • Phone: 303-788-7880
  • Fax: 303-788-7883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number28125
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: