Individual
GREGORY BRIAN FASANI-FELDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W 144TH AVE STE 230, WESTMINSTER, CO 80023-9328
(303) 665-2603
Mailing address
6020 W PARKER RD, PLANO, TX 75093-8171
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
U1666
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U1666
PHYSICIAN LICENSE
TX
Enumeration date
04/03/2018
Last updated
08/12/2024
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