Provider Demographics
NPI:1982678975
Name:MAYER, STEPHEN ARMOND (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ARMOND
Last Name:MAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10240 PARK MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5425
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:5151 E HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2436
Practice Address - Country:US
Practice Address - Phone:520-803-6644
Practice Address - Fax:520-459-3193
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219667207RH0003X
CO0055236207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO026274OtherKAISER COMMERCIAL NUMBER
CO40726355Medicaid
CO431972YK5YMedicare PIN