Healthcare Provider Details

I. General information

NPI: 1336295922
Provider Name (Legal Business Name): HEATH D. CANFIELD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9399 CROWN CREST BLVD STE 401
PARKER CO
80138-8540
US

IV. Provider business mailing address

3300 N TRIUMPH BLVD STE 500
LEHI UT
84043-6475
US

V. Phone/Fax

Practice location:
  • Phone: 720-712-0306
  • Fax:
Mailing address:
  • Phone: 801-821-2781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0045693
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: