Provider Demographics
NPI:1578758637
Name:PODGORSKI, STEVEN F
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:F
Last Name:PODGORSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 E MEXICO AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3940
Mailing Address - Country:US
Mailing Address - Phone:720-524-1001
Mailing Address - Fax:303-788-6995
Practice Address - Street 1:601 E HAMPDEN
Practice Address - Street 2:SUITE 490
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2799
Practice Address - Country:US
Practice Address - Phone:720-524-1001
Practice Address - Fax:303-788-6995
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25807207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology