Healthcare Provider Details

I. General information

NPI: 1730488099
Provider Name (Legal Business Name): STEPHEN M NEW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE STE 720S
DENVER CO
80220-3926
US

IV. Provider business mailing address

4500 E 9TH AVE STE 720S
DENVER CO
80220-3926
US

V. Phone/Fax

Practice location:
  • Phone: 303-355-3525
  • Fax: 303-355-0255
Mailing address:
  • Phone: 303-355-3525
  • Fax: 303-355-0255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberDR0058061
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: