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Search › Colorado › 207R00000X

Bradley Fanestil, M.D

NPI 1023156254 · on the registry since 2007

Practice

Address
4801 Riverbend Rd Ste 120b
Boulder, CO 80301
Phone
(303) 415-8615
Fax
(303) 293-0628
Organisation at this address
Gf Institute, Pllc
Genoa Healthcare Llc
Boulder Community Health
Boulder Community Health
Boulder Community Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado