MEDICARE: DR. HOWARD BRIAN KRIEGER DPM

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	213E00000X	Podiatrist	555	CO

General Provider Information

NPI Number	:	1952393092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD BRIAN KRIEGER DPM

Provider Business Mailing Address
First Line	:	4545 E 9TH AVE
Second Line	:	SUITE 240
City	:	DENVER
State	:	CO
Zip	:	80220-3901
Country	:	US
Telephone Number	:	303-320-6221
Fax Number	:	303-320-6465

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE
Second Line	:	SUITE 240
City	:	DENVER
State	:	CO
Zip	:	80220-3901
Country	:	US
Telephone Number	:	303-320-6221
Fax Number	:	303-320-6465

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	06/03/2008

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