Healthcare Provider Details

I. General information

NPI: 1831727825
Provider Name (Legal Business Name): STEVEN PERRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 S POTOMAC ST STE 370
AURORA CO
80012-5433
US

IV. Provider business mailing address

1550 S POTOMAC ST STE 370
AURORA CO
80012-5454
US

V. Phone/Fax

Practice location:
  • Phone: 303-369-1080
  • Fax: 303-750-4913
Mailing address:
  • Phone: 303-369-1080
  • Fax: 303-750-4913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number338186
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCDR.0006921
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: