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Individual

DR. NATHAN RHODES STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
(719) 635-3578
Mailing address
3155 N UNION BLVD, COLORADO SPRINGS, CO 80907-8703
(719) 630-3937
(719) 635-3578

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0057503
CO
207W00000X
Ophthalmology Physician
12275
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12275
STATE LICENSE
MT
01
P00880687
RAILROAD MEDICARE
MT
05
ZZ207W00000X
MT
Enumeration date
12/27/2005
Last updated
08/07/2024
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