Individual
STEPHEN MACKERROW
Active
Individual
STEPHEN MACKERROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
31635
CO
207RI0011X
Interventional Cardiology Physician
Primary
87-365
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316355
—
CO
01
—
P00986966
RAILROAD MEDICARE
CO
Enumeration date
06/02/2006
Last updated
11/08/2024
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