Individual
ZACHARY C FAUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4650 CENTRAL PARK BLVD, DENVER, CO 80238-2328
(720) 734-3500
Mailing address
10302 E 58TH AVE, DENVER, CO 80238-4152
(678) 449-6913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6798
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0059992
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190802
—
CO
Enumeration date
06/25/2014
Last updated
07/13/2022
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