Provider Demographics
NPI:1073602066
Name:VOLIN, STEPHEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:VOLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9195 GRANT ST
Mailing Address - Street 2:STE 410
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4388
Mailing Address - Country:US
Mailing Address - Phone:303-280-2229
Mailing Address - Fax:303-280-0765
Practice Address - Street 1:9195 GRANT ST
Practice Address - Street 2:SUITE 300
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4385
Practice Address - Country:US
Practice Address - Phone:303-280-2229
Practice Address - Fax:303-280-0765
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2017-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO32006207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01320068Medicaid
297218Medicare ID - Type Unspecified
F33203Medicare UPIN