Theodore Harry Stathos, MD Valid NPI

Individual provider · Pediatric Gastroenterology Physician · Lone Tree, CO

NPI

1144265315

Type

Individual (Type 1)

Primary specialty

Pediatric Gastroenterology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0206X

License number

33634 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-19

Last updated

2010-09-28