Individual
JEFFREY E FEGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 BLAKE AVE, #206, GLENWOOD SPRINGS, CO 81601
(970) 928-0808
(970) 928-7591
Mailing address
PO BOX 2241, GLENWOOD SPRINGS, CO 81602-2241
(970) 945-1443
(970) 947-9410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353192
—
CO
01
—
FE264628
BLUE CROSS
—
Enumeration date
01/25/2006
Last updated
07/08/2007
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