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SAMUEL FISK DESTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7780 S BROADWAY STE 350, LITTLETON, CO 80122-2641
(303) 730-4400
(303) 730-4401
Mailing address
7780 S BROADWAY STE 350, LITTLETON, CO 80122-2641
(303) 730-4400
(303) 730-4401

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
CDRH.0058144
CO
2084E0001X
Epilepsy Physician
DR.0058144
CO
2084N0400X
Neurology Physician
0058144
CO
2084N0400X
Neurology Physician
036-176812
IL
2084N0600X
Clinical Neurophysiology Physician
DR.0058144
CO

Other

Enumeration date
04/03/2013
Last updated
12/03/2025
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