Healthcare Provider Details

I. General information

NPI: 1528022977
Provider Name (Legal Business Name): JANEVA C. PANKEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANEVA P. SPENCER MD

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 08/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 16TH ST
GREELEY CO
80631-5154
US

IV. Provider business mailing address

PO BOX 16950
MESA AZ
85211-6950
US

V. Phone/Fax

Practice location:
  • Phone: 970-810-6087
  • Fax: 970-810-4531
Mailing address:
  • Phone: 970-810-6087
  • Fax: 970-810-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LH0002X
TaxonomyHospice and Palliative Medicine (Anesthesiology) Physician
License Number0031501
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: