Healthcare Provider Details

I. General information

NPI: 1629367529
Provider Name (Legal Business Name): PAUL ANTHONY SZEFLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 E 16TH AVE # B-158
AURORA CO
80045-7106
US

IV. Provider business mailing address

13123 E 16TH AVE # B-158
AURORA CO
80045-7106
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-2550
  • Fax:
Mailing address:
  • Phone: 303-898-5895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0051918
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: