Individual
BRIAN S FASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
455 SHERMAN, SUITE 510, DENVER, CO 80203-4405
(303) 377-6825
(303) 780-0787
Mailing address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594259
—
IA
05
—
100426080A
—
KS
05
—
117502500
—
WY
05
—
3506685
—
MT
05
—
54887348
—
CO
05
—
58020721
—
NM
05
—
7713400
—
SD
05
—
84113438513
—
NE
05
—
922585
—
AZ
Enumeration date
12/16/2005
Last updated
04/18/2013
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