Stovall, Robert T

Stovall, Robert T is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stovall, Robert T can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL-1658 Colorado
Allopathic & Osteopathic Physicians / Surgery 208600000X 048803 Colorado

Profile Details

NPI number 1669519922
LBN Legal business name Stovall, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jun 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669519922 NPPES
Colorado MEDICAID 86275747
Colorado Other 025364

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