Individual
DR. STEPHEN GRANT VANOOTEGHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-4500
Mailing address
PO BOX 351750, WESTMINSTER, CO 80035-1750
(303) 484-8404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR0056397
CO
Other
Enumeration date
05/08/2012
Last updated
06/13/2016
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