Provider Demographics
NPI:1063490159
Name:SIEFER, STANLEY F (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:F
Last Name:SIEFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W HAMPDEN AVE
Mailing Address - Street 2:UNIT 103
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-7330
Mailing Address - Country:US
Mailing Address - Phone:303-761-1699
Mailing Address - Fax:303-761-4099
Practice Address - Street 1:901 W HAMPDEN AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-7331
Practice Address - Country:US
Practice Address - Phone:303-761-1699
Practice Address - Fax:303-761-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2023-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17908207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01179084Medicaid
COE37822Medicare UPIN
COE50094Medicare ID - Type Unspecified