Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | DR.0063602 | CO |
NPI | 1235592676 |
---|---|
Provider Name | Stephen Cheung |
First Address | Littleton, CO 80121-8057 |
Second Address | Littleton, CO 80121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2016 |
Last Update Date | 06/05/2021 |