Individual
HERBERT DANIEL FAHRENHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 356-2424
(970) 346-2828
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 356-2424
(970) 346-2828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR32319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323195
—
CO
Enumeration date
10/19/2005
Last updated
07/29/2008
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