Provider Demographics
NPI:1194898858
Name:EPPLER, STEPHEN VAUGHN (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:VAUGHN
Last Name:EPPLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9570 S KINGSTON CT #220
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6004
Mailing Address - Country:US
Mailing Address - Phone:303-762-6300
Mailing Address - Fax:303-703-0169
Practice Address - Street 1:9570 S KINGSTON CT #220
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-6004
Practice Address - Country:US
Practice Address - Phone:303-762-6300
Practice Address - Fax:303-703-0169
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO23920207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01239201Medicaid
CO01239201Medicaid
COC811029Medicare PIN