Individual
STEPHEN L WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4815 PRAIRIE VISTA DR, FORT COLLINS, CO 80526-3779
(970) 556-0562
Mailing address
4815 PRAIRIE VISTA DR, FORT COLLINS, CO 80526-3779
(970) 556-0562
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0036676
CO
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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