Provider Demographics
NPI:1891897864
Name:DOVEY, HENRY HARVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HARVEY
Last Name:DOVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 MOUNTAIN VIEW AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3103
Mailing Address - Country:US
Mailing Address - Phone:303-776-9400
Mailing Address - Fax:303-682-2952
Practice Address - Street 1:1155 ALPINE AVE
Practice Address - Street 2:STE 180
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3495
Practice Address - Country:US
Practice Address - Phone:303-444-9000
Practice Address - Fax:303-444-9073
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24147174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26364Medicare PIN
COE85753Medicare UPIN