Individual
MR. STEPHEN CLARENDON LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10101 RIDGEGATE PKWY, SUITE 490, LONETREE, CO 80124-5522
(303) 790-1800
Mailing address
7093 CANNONSBURG RD NE, BELMONT, MI 49306-9641
(616) 723-3731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2010
Last updated
06/28/2010
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