Healthcare Provider Details

I. General information

NPI: 1619175361
Provider Name (Legal Business Name): FAYE ELLEN SUNDAHL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2007
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 CHURCH RANCH BLVD
WESTMINSTER CO
80021-4094
US

IV. Provider business mailing address

7233 CHURCH RANCH BLVD
WESTMINSTER CO
80021-4094
US

V. Phone/Fax

Practice location:
  • Phone: 303-925-4020
  • Fax: 303-925-4021
Mailing address:
  • Phone: 303-925-4020
  • Fax: 303-925-4021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberDR.0054918
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: