Provider Demographics
NPI:1336295922
Name:CANFIELD, HEATH D (DO)
Entity Type:Individual
Prefix:DR
First Name:HEATH
Middle Name:D
Last Name:CANFIELD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8669 KIM CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-5740
Mailing Address - Country:US
Mailing Address - Phone:303-408-9337
Mailing Address - Fax:888-834-4510
Practice Address - Street 1:8669 KIM CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5740
Practice Address - Country:US
Practice Address - Phone:303-408-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO292752084P0800X
COTL-1307390200000X
CO456932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program