Provider Demographics
NPI:1811981285
Name:ARTZBERGER, BRIAN A (D O)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:A
Last Name:ARTZBERGER
Suffix:
Gender:M
Credentials:D O
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4775 PURCELL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-1615
Mailing Address - Country:US
Mailing Address - Phone:719-600-8485
Mailing Address - Fax:719-694-1689
Practice Address - Street 1:421 S TEJON ST STE 250
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:719-623-3068
Practice Address - Fax:719-694-1689
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO58611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1811981285OtherNPI
AZZ117486Medicare PIN