Individual
DR. STEVEN CLAY DECOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17230 JACKSON CREEK PKWY STE 120, MONUMENT, CO 80132-7302
(719) 571-7070
(719) 570-7079
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DR.0046479
CO
207Q00000X
Family Medicine Physician
Primary
46479
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86050745
—
CO
Enumeration date
01/12/2006
Last updated
08/23/2022
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