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NPI Code Detail

MEDICARE: FAYE ELLEN SUNDAHL D.O.

MEDICARE: FAYE ELLEN SUNDAHL 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207V00000XObstetrics & Gynecology PhysicianDR.0054918CO

General Provider Information

NPI Number : 1619175361
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAYE ELLEN SUNDAHL D.O.
Provider Business Mailing Address
First Line : 7233 CHURCH RANCH BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4094
Country : US
Telephone Number : 303-925-4020
Fax Number : 303-925-4021
Provider Business Practice Location Address
First Line : 7233 CHURCH RANCH BLVD
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-4094
Country : US
Telephone Number : 303-925-4020
Fax Number : 303-925-4021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2007
Last Update Date : 06/03/2025

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Directions to “ FAYE ELLEN SUNDAHL D.O.” Practice Location

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