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NPI Code Detail

MEDICARE: DR. DAVID BRUCE FABER D.O.

MEDICARE:  DR. DAVID BRUCE FABER  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
1207RR0500XRheumatology Physician41248CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2807463OTHERCOMEDICARE IDENTIFICATION NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902879240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BRUCE FABER D.O.
Provider Business Mailing Address
First Line : 1894 MONUMENT CANYON DR
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-9525
Country : US
Telephone Number : 970-255-1975
Fax Number : 970-255-1975
Provider Business Practice Location Address
First Line : 1894 MONUMENT CANYON DR STE 1
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81507-9525
Country : US
Telephone Number : 970-255-1975
Fax Number : 970-255-1975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 12/07/2022

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Directions to “ DR. DAVID BRUCE FABER D.O.” Practice Location

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