Provider Demographics
NPI:1528177904
Name:TREIHAFT, MARC M (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:M
Last Name:TREIHAFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 S BANNOCK ST STE 645
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2494
Mailing Address - Country:US
Mailing Address - Phone:303-788-1700
Mailing Address - Fax:303-788-1740
Practice Address - Street 1:3333 S BANNOCK ST STE 645
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2494
Practice Address - Country:US
Practice Address - Phone:303-788-1700
Practice Address - Fax:303-788-1740
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO210972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO826133305OtherRAILROAD MEDICARE
CO01210970Medicaid
CO826133305OtherRAILROAD MEDICARE
D23878Medicare UPIN