Provider Demographics
NPI:1245292796
Name:STEEN, ERIC FRANKLIN (DPM)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:FRANKLIN
Last Name:STEEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3535 S LAFAYETTE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3957
Mailing Address - Country:US
Mailing Address - Phone:720-600-2240
Mailing Address - Fax:720-310-2162
Practice Address - Street 1:3535 S LAFAYETTE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3957
Practice Address - Country:US
Practice Address - Phone:720-600-2240
Practice Address - Fax:720-310-2162
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO659213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57781044Medicaid
380888ZK4WMedicare UPIN