Provider Demographics
NPI:1811158835
Name:FENDER, ANNE B (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:B
Last Name:FENDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17560 S GOLDEN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6005
Mailing Address - Country:US
Mailing Address - Phone:303-526-1117
Mailing Address - Fax:303-278-0611
Practice Address - Street 1:17560 S GOLDEN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6005
Practice Address - Country:US
Practice Address - Phone:303-526-1117
Practice Address - Fax:303-278-0611
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2013-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORLL18002207R00000X
CO50895207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine