Healthcare Provider Details

I. General information

NPI: 1679754717
Provider Name (Legal Business Name): DAVID SOLSBERG, MD., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S PEARL ST
ENGLEWOOD CO
80113-3805
US

IV. Provider business mailing address

15 HUNTWICK LN
ENGLEWOOD CO
80113-7111
US

V. Phone/Fax

Practice location:
  • Phone: 303-762-0060
  • Fax: 303-762-1131
Mailing address:
  • Phone: 303-888-3396
  • Fax: 303-762-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number33833
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number33833
License Number StateCO

VIII. Authorized Official

Name: MURRAY DAVID SOLSBERG
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 303-888-3396