Provider Demographics
NPI:1265502140
Name:TROEGER, STEVEN RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:RAY
Last Name:TROEGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5031 S ULSTER ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2804
Mailing Address - Country:US
Mailing Address - Phone:303-290-0022
Mailing Address - Fax:303-290-9476
Practice Address - Street 1:5031 S ULSTER ST
Practice Address - Street 2:SUITE 130
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2804
Practice Address - Country:US
Practice Address - Phone:303-290-0022
Practice Address - Fax:303-290-9476
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1426111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC10833Medicare PIN