Individual
DANNY EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 447-4065
Mailing address
PO BOX 30077, DEPT 305, SALT LAKE CITY, UT 84130-0077
(877) 243-8416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036147289
IL
2085R0202X
Diagnostic Radiology Physician
2021005535
MO
2085R0202X
Diagnostic Radiology Physician
Primary
6719
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152973
WC
NV
01
—
153101
WC
NV
05
—
200290012
—
NV
01
—
NV3798
BCBS
NV
01
—
NV4882
BCBS
NV
Enumeration date
05/16/2006
Last updated
05/01/2025
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