Individual
STEPHEN DOUGLAS SLAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33494
AZ
207P00000X
Emergency Medicine Physician
Primary
50951
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39686752
—
CO
05
—
932378
—
AZ
01
—
P01165041
RAILROAD MEDICARE PIN
CO
Enumeration date
05/10/2006
Last updated
02/24/2014
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