Basic Information
Provider Information
NPI: 1285924720
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEVES
FirstName: AMBER
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1300 RIVERSIDE AVE STE 102
Address2:  
City: FORT COLLINS
State: CO
PostalCode: 805244351
CountryCode: US
TelephoneNumber: 9702241670
FaxNumber: 9704956218
Practice Location
Address1: 1107 S LEMAY AVE STE 200
Address2:  
City: FORT COLLINS
State: CO
PostalCode: 805243959
CountryCode: US
TelephoneNumber: 9704841757
FaxNumber: 9702215206
Other Information
ProviderEnumerationDate: 04/18/2011
LastUpdateDate: 09/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X51570COY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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