Provider Demographics
NPI:1942568977
Name:CREER, STEPHEN MAUGHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MAUGHAN
Last Name:CREER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 GLENGARRY PL
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9063
Mailing Address - Country:US
Mailing Address - Phone:303-688-5074
Mailing Address - Fax:
Practice Address - Street 1:164 GLENGARRY PL
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-9063
Practice Address - Country:US
Practice Address - Phone:303-688-5074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18619207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine