Individual
DR. DAVID L FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-9807
(303) 312-9807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42443
WI
207Q00000X
Family Medicine Physician
Primary
55525
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104898915
—
WI
05
—
33339200
—
WI
05
—
85680052
—
CO
Enumeration date
02/06/2006
Last updated
08/17/2018
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