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NPI Code Detail

MEDICARE: MR. DENNIS MARVIN EICHER D. O.

MEDICARE:  MR. DENNIS MARVIN EICHER  D. O.
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
1207Q00000XFamily Medicine Physician22427CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2EI198728OTHERBCBS INDIVIDUAL
3EI198728OTHERCOBCBS INDIVIDUAL #

General Provider Information

NPI Number : 1447352422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS MARVIN EICHER D. O.
Provider Business Mailing Address
First Line : 820 CASTLE VALLEY BLVD
Second Line : SUITE 210
City : NEW CASTLE
State : CO
Zip : 81647-9453
Country : US
Telephone Number : 970-984-0651
Fax Number : 970-984-0402
Provider Business Practice Location Address
First Line : 820 CASTLE VALLEY BLVD
Second Line : SUITE 210
City : NEW CASTLE
State : CO
Zip : 81647-9453
Country : US
Telephone Number : 970-984-0651
Fax Number : 970-984-0402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 12/28/2011

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Directions to “ MR. DENNIS MARVIN EICHER D. O.” Practice Location

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