Provider Demographics
NPI:1669131132
Name:CASABAR-FERRER, DAHLIA F
Entity type:Individual
Prefix:
First Name:DAHLIA
Middle Name:F
Last Name:CASABAR-FERRER
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:ARTHUR
Other - Middle Name:F
Other - Last Name:FERRER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:10650 GARDEN DR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-7019
Mailing Address - Country:US
Mailing Address - Phone:303-369-7752
Mailing Address - Fax:303-369-7907
Practice Address - Street 1:537 W HIGHLANDS RANCH PKWY STE 102
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6951
Practice Address - Country:US
Practice Address - Phone:720-328-6147
Practice Address - Fax:303-369-7907
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO821104858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000151180Medicaid