Individual
MR. STEPHEN J FANTAUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
7100 BROADWAY, SUITE 2E, DENVER, CO 80221-2915
(303) 316-2615
(303) 331-9019
Mailing address
1454 STERLING HILL CT, CASTLE ROCK, CO 80104-7605
(303) 907-9686
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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