Basic Information
| Provider Information | |||||||||
| NPI: | 1245438530 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHU | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 110429 | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800420429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034397000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7403 CHURCH RANCH BLVD | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | WESTMINSTER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800216074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208489400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2007 | ||||||||
| LastUpdateDate: | 11/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | 46958 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | 207Q00000X | DR.0046958 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.