Individual
DR. JAMES N DREISBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
Mailing address
10700 E GEDDES AVE, NO 200, ENGLEWOOD, CO 80112-3800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20148
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01201482
—
CO
01
—
02249241
NY MEDICAID
NY
01
—
053213701
TX MEDICAID
TX
05
—
10025709000
—
NE
01
—
104686089
MI MEDICAID
MI
01
—
117172100
WY MEDICAID
WY
05
—
1235115254
—
MT
01
—
18155235
NM MEDICAID
NM
01
—
200364610
IN MEDICAID
IN
01
—
200417090A
KS MEDICAID
KS
01
—
424458
AZ MEDICAID
AZ
01
—
64049026
KY MEDICAID
KY
05
—
84-059792913
—
NE
01
—
940000060
RR MCRE RIA
CO
01
—
940000105
RR MCRE MIC
CO
01
—
CO305739
MEDICARE TRAILBAZER RIN
NE
01
—
XPY203373
CA MEDICAID
CA
Enumeration date
12/21/2005
Last updated
03/29/2010
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