Provider Demographics
NPI:1114921590
Name:STRAUB, MARIA BRIGITTE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:BRIGITTE
Last Name:STRAUB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 W 92ND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4567
Mailing Address - Country:US
Mailing Address - Phone:303-254-7464
Mailing Address - Fax:303-252-9875
Practice Address - Street 1:7625 W 92ND AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4567
Practice Address - Country:US
Practice Address - Phone:303-254-7464
Practice Address - Fax:303-252-9875
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37465207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62308360Medicaid
CO31214Medicare ID - Type Unspecified
CO0273370001Medicare NSC