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Individual

STEPHEN R. DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
13123 E 16TH AVE, B065, AURORA, CO 80045-7106
(720) 777-2766
(720) 777-7278
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
44951
CO
2080P0202X
Pediatric Cardiology Physician
35-04-36022
OH
2080P0202X
Pediatric Cardiology Physician
Primary
44951
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03959716
CO
Enumeration date
05/15/2006
Last updated
12/05/2018
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