Individual
DR. BRADLEY WILLIAM FEHRENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401-3267
(303) 914-8800
(303) 716-3777
Mailing address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401-3267
(303) 914-8800
(303) 716-3777
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
DR.0055346
CO
207U00000X
Nuclear Medicine Physician
MD60551342
WA
2085R0202X
Diagnostic Radiology Physician
DR.0055346
CO
2085R0202X
Diagnostic Radiology Physician
MD172582
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60551342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044583
—
WA
05
—
500688593
—
OR
Enumeration date
05/18/2009
Last updated
06/29/2018
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