Provider Demographics
NPI:1679754717
Name:DAVID SOLSBERG, MD., PC
Entity type:Organization
Organization Name:DAVID SOLSBERG, MD., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SOLSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-888-3396
Mailing Address - Street 1:15 HUNTWICK LN
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-7111
Mailing Address - Country:US
Mailing Address - Phone:303-888-3396
Mailing Address - Fax:303-762-1131
Practice Address - Street 1:3601 S PEARL ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3805
Practice Address - Country:US
Practice Address - Phone:303-762-0060
Practice Address - Fax:303-762-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO338332085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC810848OtherMEDICARE PTAN
CO33833OtherCOLORADO STATE LICENSE
CO33833OtherCOLORADO STATE LICENSE