Steven Thomas Degennaro in Boulder - Pediatrics

Steven Thomas Degennaro - NPI 1740497288

Steven Thomas Degennaro is a Pediatrics in Boulder, Colorado. Steven Thomas Degennaro practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Steven Thomas Degennaro is 1740497288. The last update date is 2007-07-08.

Steven Thomas Degennaro's current location address is 1878 Fourmile Canyon Dr, Boulder, Colorado. You can contact this provider via phone number 5163848913. The mailing address for Steven Thomas Degennaro is 1878 Fourmile Canyon Dr, Boulder, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Thomas Degennaro
Address 1878 Fourmile Canyon Dr, Boulder, Colorado
Phone Number 5163848913
Fax Number
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1740497288
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1878 Fourmile Canyon Dr
City Boulder
State Colorado (CO)
Post Code 803028787
Phone Number 5163848913
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 9374
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Steven Thomas Degennaro

What is the unique provider identifier assigned to Steven Thomas Degennaro?

The Steven Thomas Degennaro has been issued the NPI (National Provider Identifier) 1740497288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Steven Thomas Degennaro is physically located?

The Steven Thomas Degennaro is situated at the following address: 1878 Fourmile Canyon Dr, Boulder, CO 803028787.

What is Steven Thomas Degennaro's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Steven Thomas Degennaro is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740497288 to Steven Thomas Degennaro?

The Centers for Medicare & Medicaid Services assigned the 1740497288 to Steven Thomas Degennaro on 2007-05-16.

When was the information related to Steven Thomas Degennaro most recently updated or refreshed?

The details pertaining to the Steven Thomas Degennaro, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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