Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | DR.0046958 | CO |
Y | 207QS0010X | Family Doctor - Sports Medicine | 46958 | CO |
NPI | 1245438530 |
---|---|
Provider Name | Stephanie M Chu |
First Address | Aurora, CO 80042-0429 |
Second Address | Westminster, CO 80021-6074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2007 |
Last Update Date | 07/02/2018 |