NPI 1144265315

Theodore Harry Stathos, MD

Practitioner Pediatric Gastroenterology Physician Lone Tree, CO

Practice location

Address: 9224 Teddy Lane Suite 200, Lone Tree, CO 80124-6799
Phone: (303) 790-1515
Fax: (303) 790-1989
Mailing address: 9224 Teddy Ln Suite 220, Lone Tree, CO 80124-6798

Registered specialties

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X Licence 33634 (CO)

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Registry record

NPI: 1144265315
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2006
Record last updated: 28 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.