Provider Demographics
NPI:1154753408
Name:FEDOR-HILL, DOVE (DC)
Entity type:Individual
Prefix:DR
First Name:DOVE
Middle Name:
Last Name:FEDOR-HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DOVE
Other - Middle Name:
Other - Last Name:FEDOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6000 E EVANS AVE
Mailing Address - Street 2:1-250
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5406
Mailing Address - Country:US
Mailing Address - Phone:720-515-3715
Mailing Address - Fax:
Practice Address - Street 1:6000 E EVANS AVE
Practice Address - Street 2:1-250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5406
Practice Address - Country:US
Practice Address - Phone:720-515-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6912111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology