MEDICARE: BRENDA CZABAN 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	2084P0800X	Psychiatry Physician	46196	CO

General Provider Information

NPI Number	:	1588710180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA CZABAN MD

Provider Business Mailing Address
First Line	:	600 N HUMBOLDT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3606
Country	:	US
Telephone Number	:	303-955-7371
Fax Number	:	303-955-7371

Provider Business Practice Location Address
First Line	:	600 N HUMBOLDT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3606
Country	:	US
Telephone Number	:	303-955-7371
Fax Number	:	303-955-7371

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	03/25/2024

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