Individual
STEVEN UPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
111 W CIMARRON ST, COLORADO SPRINGS, CO 80903-3810
(480) 495-5682
Mailing address
5650 ASTORIA WAY, COLORADO SPRINGS, CO 80919-5401
(480) 495-5682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CO
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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