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1447577168

NPI Code Detail

MEDICARE: ERIC ROBERT MEHLBERG MD

MEDICARE: ERIC ROBERT MEHLBERG 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	207L00000X	Anesthesiology Physician	327467	NY
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	55462	CO
3	207L00000X	Anesthesiology Physician	55462	CO

General Provider Information

NPI Number	:	1447577168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC ROBERT MEHLBERG MD

Provider Business Mailing Address
First Line	:	12911 W 40TH AVE
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-2696
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12911 W 40TH AVE
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-2696
Country	:	US
Telephone Number	:	303-425-4500
Fax Number	:

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

Provider Enumeration Date	:	04/21/2010
Last Update Date	:	10/28/2024

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Directions to “ ERIC ROBERT MEHLBERG MD” Practice Location

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