Provider Demographics
NPI:1124127105
Name:STUEBNER SAARI & SOMERS PC
Entity type:Organization
Organization Name:STUEBNER SAARI & SOMERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:W
Authorized Official - Last Name:STUEBNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-617-7782
Mailing Address - Street 1:14000 E ARAPAHOE RD
Mailing Address - Street 2:STE 300
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-617-7782
Mailing Address - Fax:303-627-4078
Practice Address - Street 1:14000 E ARAPAHOE RD
Practice Address - Street 2:STE 300
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-617-7782
Practice Address - Fax:303-627-4078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17629207R00000X
CO32972207R00000X
CO41352207R00000X
CO34730207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty