Healthcare Provider Details

I. General information

NPI: 1902243553
Provider Name (Legal Business Name): DR WILLIAM T STONE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N WEBER ST SUITE 120
COLORADO SPRINGS CO
80907-7532
US

IV. Provider business mailing address

5245 PEACEFUL PL
COLORADO SPRINGS CO
80917-3357
US

V. Phone/Fax

Practice location:
  • Phone: 719-722-4929
  • Fax: 719-358-9860
Mailing address:
  • Phone: 719-722-4929
  • Fax: 719-358-9860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number49215
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM T STONE
Title or Position: PRESIDENT
Credential: DO
Phone: 719-439-3461