Provider Demographics
NPI:1356579965
Name:OBRECHT, DAWN VICTORIA (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:VICTORIA
Last Name:OBRECHT
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:PO BOX 775596
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-5596
Mailing Address - Country:US
Mailing Address - Phone:303-877-5310
Mailing Address - Fax:
Practice Address - Street 1:51193 SMITH CREEK RD
Practice Address - Street 2:BOX 775596
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9447
Practice Address - Country:US
Practice Address - Phone:303-877-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19464207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine