Provider Demographics
NPI:1497720403
Name:HO, STEPHEN C (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:C
Last Name:HO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5340 S QUEBEC ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1909
Mailing Address - Country:US
Mailing Address - Phone:303-756-7546
Mailing Address - Fax:303-756-7547
Practice Address - Street 1:5340 S QUEBEC ST STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1909
Practice Address - Country:US
Practice Address - Phone:303-756-7546
Practice Address - Fax:303-756-7547
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO38456207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO48638374Medicaid
COH10162Medicare UPIN
COF2288Medicare ID - Type Unspecified