Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 51436 | CO |
Y | 2080P0202X | Pediatric Cardiologist | 51436 | CO |
NPI | 1245429091 |
---|---|
Provider Name | Dr. Chad Bryan Stewart |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 04/09/2012 |