Provider Demographics
NPI:1942228457
Name:STONE, PAUL A (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:STONE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104
Mailing Address - Country:US
Mailing Address - Phone:303-814-1082
Mailing Address - Fax:303-814-0020
Practice Address - Street 1:2352 MEADOWS BLVD STE 270
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109
Practice Address - Country:US
Practice Address - Phone:303-814-1082
Practice Address - Fax:303-814-0020
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01003748Medicaid
COT60337Medicare UPIN
CO480031686Medicare PIN
CO01003748Medicaid