Provider Demographics
NPI:1902879240
Name:FABER, DAVID BRUCE (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRUCE
Last Name:FABER
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1894 MONUMENT CANYON DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-9525
Mailing Address - Country:US
Mailing Address - Phone:970-255-1975
Mailing Address - Fax:970-255-1975
Practice Address - Street 1:1894 MONUMENT CANYON DR STE 1
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507-9525
Practice Address - Country:US
Practice Address - Phone:970-255-1975
Practice Address - Fax:970-255-1975
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2022-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO41248207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO03109232Medicaid
CO807463OtherMEDICARE IDENTIFICATION NUMBER
A03702Medicare UPIN