Organization
ROCKY MTN UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E FEGAN MD (PRESIDENT)
(970) 928-0808
Entity
Organization
Contact information
Practice address
1830 BLAKE AVE, #206, GLENWOOD SPRINGS, CO 81601
(970) 928-0808
(970) 928-7591
Mailing address
PO BOX 2241, GLENWOOD SPRINGS, CO 81602-2241
(970) 945-1443
(970) 947-9410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023438
—
CO
01
—
61Z7Z3
BLUE CROSS
—
01
—
DA8149
RAILROAD MEDICARE
—
Enumeration date
01/24/2006
Last updated
08/22/2020
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