MEDICARE: DR. STUART ALAN NERZIG MD

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	207R00000X	Internal Medicine Physician	031030	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447350996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART ALAN NERZIG MD

Provider Business Mailing Address
First Line	:	3301 ARAPAHOE AVE
Second Line	:	APT 411
City	:	BOULDER
State	:	CO
Zip	:	80303-1009
Country	:	US
Telephone Number	:	303-831-6686
Fax Number	:	720-932-9255

Provider Business Practice Location Address
First Line	:	2460 W 26TH AVE
Second Line	:	SUITE C360
City	:	DENVER
State	:	CO
Zip	:	80211-5308
Country	:	US
Telephone Number	:	303-831-6686
Fax Number	:	720-932-9255

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

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	06/23/2016

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