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NPI Code Detail

MEDICARE: DR. STEPHEN J ANNEST MD

MEDICARE: DR. STEPHEN J ANNEST MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist34233CO
22086S0129XVascular Surgery Physician34233CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2770000990OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093792590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN J ANNEST MD
Provider Business Mailing Address
First Line : 4105 E FLORIDA AVE STE 200
Second Line :
City : DENVER
State : CO
Zip : 80222-3641
Country : US
Telephone Number : 303-539-0736
Fax Number : 303-539-0737
Provider Business Practice Location Address
First Line : 4105 E FLORIDA AVE STE 200
Second Line :
City : DENVER
State : CO
Zip : 80222-3641
Country : US
Telephone Number : 303-539-0736
Fax Number : 303-539-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/18/2022

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Directions to “ DR. STEPHEN J ANNEST MD” Practice Location

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