Provider Demographics
NPI:1770584120
Name:MCFARLAND, BRUCE DAMON (DO)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:DAMON
Last Name:MCFARLAND
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 1:12001 W 63RD PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4034
Mailing Address - Country:US
Mailing Address - Phone:303-423-1360
Mailing Address - Fax:303-423-1640
Practice Address - Street 1:12001 W 63RD PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4034
Practice Address - Country:US
Practice Address - Phone:303-423-1360
Practice Address - Fax:303-423-1640
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34896207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01348960Medicaid
CO01348960Medicaid
COF48416Medicare UPIN