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NPI Code Detail

MEDICARE: DR. STEPHANIE LYNNE SEGAL M.D.

MEDICARE: DR. STEPHANIE LYNNE SEGAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianM0908TX
2207Q00000XFamily Medicine PhysicianDR.0057807CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1028693OTHERCOKAISER COMMERCIAL NUMBER

General Provider Information

NPI Number : 1013950526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE LYNNE SEGAL M.D.
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number : 303-338-4545
Fax Number :
Provider Business Practice Location Address
First Line : 9285 HEPBURN ST
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2262
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 03/29/2021

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