MEDICARE: DAVID A ZIEG 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	207Q00000X	Family Medicine Physician	39479	CO
2	2083X0100X	Occupational Medicine Physician	39479	CO

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	:	1871534941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A ZIEG MD

Provider Business Mailing Address
First Line	:	12257 S WADSWORTH BLVD
Second Line	:	MAIL STOP 1398
City	:	LITTLETON
State	:	CO
Zip	:	80125-8504
Country	:	US
Telephone Number	:	303-977-7879
Fax Number	:	303-971-5774

Provider Business Practice Location Address
First Line	:	12257 S WADSWORTH BLVD
Second Line	:	MAIL STOP 1398
City	:	LITTLETON
State	:	CO
Zip	:	80125-8504
Country	:	US
Telephone Number	:	303-977-7879
Fax Number	:	303-971-5774

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	08/26/2013

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Directions to “ DAVID A ZIEG MD” Practice Location

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