Healthcare Provider Details

I. General information

NPI: 1629770482
Provider Name (Legal Business Name): SARAH DANIELLE GRAEBER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9695 S YOSEMITE ST STE 224
LONE TREE CO
80124-2890
US

IV. Provider business mailing address

9695 S YOSEMITE ST STE 224
LONE TREE CO
80124-2890
US

V. Phone/Fax

Practice location:
  • Phone: 303-265-3970
  • Fax: 303-265-3971
Mailing address:
  • Phone: 303-265-3970
  • Fax: 303-265-3971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0077659
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: