Provider Demographics
NPI:1174623193
Name:OBRIEN, STEVEN ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ARTHUR
Last Name:OBRIEN
Suffix:
Gender:
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 2270
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-2270
Mailing Address - Country:US
Mailing Address - Phone:970-384-6707
Mailing Address - Fax:970-384-8108
Practice Address - Street 1:1830 BLAKE AVE STE 101
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4215
Practice Address - Country:US
Practice Address - Phone:970-384-6707
Practice Address - Fax:970-384-8108
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36355207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01363555Medicaid
G67875Medicare UPIN
CO01363555Medicaid