Healthcare Provider Details
I. General information
NPI: 1407831720
Provider Name (Legal Business Name): ROY C STRINGFELLOW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/09/2005
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
265 S PARKSIDE DR SUITE 100
COLORADO SPRINGS CO
80910-3141
US
IV. Provider business mailing address
5731 SILVERSTONE TER STE 250
COLORADO SPRINGS CO
80919-3545
US
V. Phone/Fax
- Phone: 719-633-8773
- Fax: 719-633-1905
- Phone: 719-633-8773
- Fax: 719-633-1905
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 22778 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: