Individual
MICHAEL JOSEPH STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1830 N FRANKLIN ST STE 340, DENVER, CO 80218-1128
(303) 318-3330
(303) 812-4221
Mailing address
1830 N FRANKLIN ST STE 340, DENVER, CO 80218-1128
(303) 318-3330
(303) 812-4221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003530A
IN
363A00000X
Physician Assistant
Primary
2455
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03038050
—
CO
05
—
1245556091
—
NE
05
—
129802000
—
WY
05
—
200972770A
—
KS
Enumeration date
01/18/2007
Last updated
12/18/2024
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