Individual
STEPHEN L BURGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 E 13TH ST, SUITE 220, LOVELAND, CO 80537-5161
(970) 669-5432
(970) 461-6275
Mailing address
2555 E 13TH ST, SUITE 220, LOVELAND, CO 80537-5161
(970) 669-5432
(970) 461-6275
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39199
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123408100
—
WY
05
—
43601049
—
CO
05
—
84081574413
—
NE
01
—
P00382854
MEDICARE RAILROAD
—
Enumeration date
10/25/2005
Last updated
05/14/2009
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