Individual
DR. STEPHEN WALTER HASKEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1351 COLLYER ST, LONGMONT, CO 80501-3310
(303) 776-7117
(888) 863-4354
Mailing address
PO BOX 312, 1351 COLLYER, LONGMONT, CO 80502-0312
(303) 776-7117
(888) 863-4354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18992
CO
208000000X
Pediatrics Physician
18992
CO
Other
Enumeration date
11/01/2006
Last updated
02/20/2015
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