Healthcare Provider Details

I. General information

NPI: 1982199121
Provider Name (Legal Business Name): STEPHANIE VAZQUEZ HILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE LIZ VAZQUEZ MD

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W COUNTY LINE RD
HIGHLANDS RANCH CO
80129-2318
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 303-795-5980
  • Fax: 303-795-7881
Mailing address:
  • Phone: 970-624-4123
  • Fax: 970-490-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0071733
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: