Individual
DR. FREDERICK BRYAN HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1056 E 19TH AVE, B130, DENVER, CO 80218-1007
(303) 861-6200
(303) 861-6209
Mailing address
801 S GILPIN ST, DENVER, CO 80209-4514
(303) 428-2540
(303) 744-6227
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
17062
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170620
—
CO
Enumeration date
07/04/2006
Last updated
07/09/2007
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