Individual
PAUL L NEUSTEDTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
1551 MILKY WAY, THORTON, CO 80260-2444
(303) 426-4525
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
817
CO
363A00000X
Physician Assistant
Primary
817
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009266
KAISER-COMMERCIAL NUMBER
—
05
—
71783377
—
CO
Enumeration date
02/27/2007
Last updated
05/14/2021
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