Individual
MAURICE JUDE ROMEO FAUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
159 HWY 72 WEST, POB 550, NEDERLAND, CO 80466
(303) 258-9355
(303) 258-9356
Mailing address
PO BOX 550, 159 HWY 72 W, NEDERLAND, CO 80466-0550
(303) 258-9355
(303) 258-9356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35947
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359470
—
CO
01
—
1427151877
NPI
—
01
—
35947
STATE LICENSE
CA
Enumeration date
09/07/2006
Last updated
02/13/2010
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