Individual
DR. STEPHEN C AXTHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1057 LAKESIDE CT, GRAND JUNCTION, CO 81506-2817
(970) 241-5692
Mailing address
1057 LAKESIDE CT, GRAND JUNCTION, CO 81506-2817
(970) 241-5692
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23702
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01237023
—
CO
Enumeration date
08/15/2006
Last updated
04/28/2011
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