Healthcare Provider Details

I. General information

NPI: 1952861320
Provider Name (Legal Business Name): DOUGLAS MICHAEL ZOERNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10099 RIDGEGATE PKWY STE 310
LONE TREE CO
80124-5534
US

IV. Provider business mailing address

10099 RIDGEGATE PKWY STE 310
LONE TREE CO
80124-5534
US

V. Phone/Fax

Practice location:
  • Phone: 303-790-1800
  • Fax:
Mailing address:
  • Phone: 303-790-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberDR.0077789
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: