Healthcare Provider Details
I. General information
NPI: 1952713489
Provider Name (Legal Business Name): STERLING SLOCUM D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/02/2014
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1625 MEDICAL CENTER PT STE 190
COLORADO SPRINGS CO
80907-8721
US
IV. Provider business mailing address
5929 BALCONES DR STE 200
AUSTIN TX
78731-4280
US
V. Phone/Fax
- Phone: 719-345-1047
- Fax: 877-647-0202
- Phone: 512-550-1800
- Fax: 877-647-0202
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | DR.0068645 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | DR.0068645 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: