Provider Demographics
NPI:1427260447
Name:JOHN K. STANTON, D.O., PC
Entity type:Organization
Organization Name:JOHN K. STANTON, D.O., PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:303-452-9585
Mailing Address - Street 1:12004 MELODY DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4212
Mailing Address - Country:US
Mailing Address - Phone:303-452-9585
Mailing Address - Fax:303-452-9593
Practice Address - Street 1:12004 MELODY DR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-4212
Practice Address - Country:US
Practice Address - Phone:303-452-9585
Practice Address - Fax:303-452-9593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC803179OtherPTAN