MR. Stephen J Fantauzzo, C.O.

NPI #1609219914 in Denver, Colorado

Provider Information

NPI Number: 1609219914
Entity Type: Individual
Name: MR. Stephen J Fantauzzo, C.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: C.O.
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 7100 BROADWAY
Address 2: SUITE 2E
City: Denver
State: Colorado
ZIP Code: 80221-2915
Phone: (303) 316-2615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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