Individual
STEVEN MICHAEL ANTONOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(720) 455-2548
Mailing address
8000 E MAPLEWOOD AVE, GREENWOOD VILLAGE, CO 80111-4766
(303) 785-4700
(303) 336-8350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0061565
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL0005822
CO
Other
Enumeration date
06/15/2015
Last updated
08/03/2020
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