Healthcare Provider Details

I. General information

NPI: 1932387966
Provider Name (Legal Business Name): DANIEL ALAN DRENNAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INDIANA ST STE 320
GOLDEN CO
80401-5033
US

IV. Provider business mailing address

400 INDIANA ST STE 320
GOLDEN CO
80401-5033
US

V. Phone/Fax

Practice location:
  • Phone: 303-469-3182
  • Fax: 303-469-6793
Mailing address:
  • Phone: 303-469-3182
  • Fax: 303-469-6793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberDR 49450
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: