Healthcare Provider Details

I. General information

NPI: 1174623193
Provider Name (Legal Business Name): STEVEN ARTHUR OBRIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 BLAKE AVE STE 101
GLENWOOD SPRINGS CO
81601-4215
US

IV. Provider business mailing address

PO BOX 2270
GLENWOOD SPRINGS CO
81602-2270
US

V. Phone/Fax

Practice location:
  • Phone: 970-384-6707
  • Fax: 970-384-8108
Mailing address:
  • Phone: 970-384-6707
  • Fax: 970-384-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36355
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: