Individual
DR. STEPHANUS JOSEPH TJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 E ORCHARD RD STE 203, LITTLETON, CO 80121-8057
(303) 459-2150
(855) 751-4155
Mailing address
191 E ORCHARD RD STE 203, LITTLETON, CO 80121-8057
(303) 459-2150
(855) 751-4155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49802
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72181281
—
CO
Enumeration date
08/12/2006
Last updated
07/20/2021
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