NPI 1609219914

Stephen J Fantauzzo, CO

Practitioner Orthotist Denver, CO

Practice location

Address: 7100 Broadway Suite 2e, Denver, CO 80221-2915
Phone: (303) 316-2615
Fax: (303) 331-9019
Mailing address: 1454 Sterling Hill CT, Castle Rock, CO 80104-7605

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1609219914
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2013
Record last updated: 17 Apr 2013

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.