Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0090069148 | VT |
NPI | 1003142589 |
---|---|
Provider Name | Dr. Steven P Rondeau |
First Address | Fort Collins, CO 80525-9098 |
Second Address | Fort Collins, CO 80525-9098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2009 |
Last Update Date | 15/10/2010 |