Basic Information
| Provider Information | |||||||||
| NPI: | 1992773055 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLZHAUER-FEENEY | ||||||||
| FirstName: | SANDRA | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 AIRPORT RD | ||||||||
| Address2: | |||||||||
| City: | RIFLE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 816508510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706251100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 501 AIRPORT RD | ||||||||
| Address2: | |||||||||
| City: | RIFLE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 81650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9706251100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2006 | ||||||||
| LastUpdateDate: | 02/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0002X | DR.0053791 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | 208000000X | 53791 | CO | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080H0002X | DR.0053791 | CO | N | Allopathic & Osteopathic Physicians | Pediatrics | Hospice and Palliative Medicine | 207R00000X | 53791 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.