Healthcare Provider Details

I. General information

NPI: 1528417326
Provider Name (Legal Business Name): SARAH L DECH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 PROSPECT AVE
ESTES PARK CO
80517-6312
US

IV. Provider business mailing address

555 PROSPECT AVE
ESTES PARK CO
80517-6312
US

V. Phone/Fax

Practice location:
  • Phone: 970-586-2200
  • Fax: 970-586-4960
Mailing address:
  • Phone: 970-577-4490
  • Fax: 970-586-4960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number270991
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number270991
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRS2019-1052
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberDR.0064335
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: