Individual
STEPHEN FAFINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5853
(719) 365-1048
Mailing address
PO BOX 63300, COLORADO SPRINGS, CO 80962-3300
(719) 578-1162
(719) 578-1462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0055809
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208821405
—
MO
01
—
684676
HEALTHLINK
MO
Enumeration date
11/01/2006
Last updated
09/14/2022
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