MEDICARE: DR. DANIEL ROBERT POSSLEY DO

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	207X00000X	Orthopaedic Surgery Physician	207X00000X	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	390200000X	OTHER	TX	STUDENTIN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM

General Provider Information

NPI Number	:	1184885071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ROBERT POSSLEY DO

Provider Business Mailing Address
First Line	:	3455 LUTHERAN PKWY STE 105
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6028
Country	:	US
Telephone Number	:	303-665-2603
Fax Number	:	303-665-2605

Provider Business Practice Location Address
First Line	:	340 EXEMPLA CIR STE 300
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-3384
Country	:	US
Telephone Number	:	303-673-1390
Fax Number	:	720-863-7446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2008
Last Update Date	:	06/15/2023

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