Bradley D Fanestil, M.D.

NPI #1023156254 in Boulder, Colorado

Provider Information

NPI Number: 1023156254
Entity Type: Individual
Name: Bradley D Fanestil, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Feb 1, 2007
Last Updated: May 10, 2019

Practice Location

Address: 4801 RIVERBEND RD STE 120B
City: Boulder
State: Colorado
ZIP Code: 80301-2613
Phone: (303) 415-8615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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