Individual
STEFAN MICHAEL BUMOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0062808
CO
Other
Enumeration date
04/07/2014
Last updated
06/27/2019
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