Provider Demographics
NPI:1790363208
Name:STONE, IAN WILLIAM (DO)
Entity type:Individual
Prefix:
First Name:IAN
Middle Name:WILLIAM
Last Name:STONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3644
Mailing Address - Country:US
Mailing Address - Phone:720-845-0007
Mailing Address - Fax:303-648-5800
Practice Address - Street 1:3118 NEWTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3644
Practice Address - Country:US
Practice Address - Phone:720-845-0007
Practice Address - Fax:303-648-5800
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0074722207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology