Healthcare Provider Details

I. General information

NPI: 1679510887
Provider Name (Legal Business Name): STEVEN L ARBOUR PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 E 9TH AVE STE 330
DENVER CO
80220-4068
US

IV. Provider business mailing address

4600 E 9TH AVE STE 330
DENVER CO
80220-4068
US

V. Phone/Fax

Practice location:
  • Phone: 720-754-4410
  • Fax:
Mailing address:
  • Phone: 720-754-4410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2045
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA.0002045
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: