Provider Demographics
NPI:1932387966
Name:DRENNAN, DANIEL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALAN
Last Name:DRENNAN
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 1:400 INDIANA ST STE 320
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5033
Mailing Address - Country:US
Mailing Address - Phone:303-469-3182
Mailing Address - Fax:303-469-6793
Practice Address - Street 1:400 INDIANA ST STE 320
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5033
Practice Address - Country:US
Practice Address - Phone:303-469-3182
Practice Address - Fax:303-469-6793
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR 49450207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6706910001Medicare NSC
COCOAAA2810Medicare PIN