Whalio Doctors

NPI 1902860091

Stephen B Siegel, MD

Practitioner Urology Physician Boulder, CO

Practice location

Address
2750 Broadway St, Boulder, CO 80304-3573
Phone
(303) 440-3093
Fax
(303) 440-3161
Mailing address
1579 Straits Tpke Suite 2a, Middlebury, CT 06762-1835

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 040149 (CT)

Registry record

NPI
1902860091
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Apr 2006
Record last updated
16 Jul 2019

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.