MEDICARE: D BRUCE FABER DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	41248	CO

General Provider Information

NPI Number	:	1033265418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D BRUCE FABER DO PC

Provider Business Mailing Address
First Line	:	1894 MONUMENT CANYON DR
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-9525
Country	:	US
Telephone Number	:	970-255-1975
Fax Number	:	970-255-1975

Provider Business Practice Location Address
First Line	:	1894 MONUMENT CANYON DR
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-9525
Country	:	US
Telephone Number	:	970-255-1975
Fax Number	:	970-255-1975

Authorized Official
Title or Position	:	CEO
Name	:	DR. D BRUCE FABER
Credential	:	D.O.
Telephone Number	:	970-255-1975

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	12/07/2022

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