Basic Information
| Provider Information | |||||||||
| NPI: | 1437103835 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOLSBERG | ||||||||
| FirstName: | MURRAY | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 HUNTWICK LN | ||||||||
| Address2: | |||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801137111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038883396 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3601 S PEARL ST | ||||||||
| Address2: | |||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801133805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037620060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 11/04/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 33833 | CO | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 200421930A | 05 | KS | MEDICAID | 300090895 | 01 | CO | RR MIC MCRE | OTHER | C810849 | 01 | CO | MEDICARE PTAN | OTHER | 110221400 | 05 | WY | MEDICAID | 300090896 | 01 | CO | RR DIA MCRE | OTHER | 300090894 | 01 | CO | RR RIA MCRE | OTHER | 01338334 | 05 | CO | MEDICAID | 104686356 | 05 | MI | MEDICAID |