Individual
STEPHEN BUNDICK CREAGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3292
Mailing address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3292
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18965
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006590
KAISER COMMERCIAL
CO
05
—
01189653
—
CO
Enumeration date
02/16/2007
Last updated
11/02/2007
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