Basic Information
| Provider Information | |||||||||
| NPI: | 1407831720 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STRINGFELLOW | ||||||||
| FirstName: | ROY | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5731 SILVERSTONE TER STE 250 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809193545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7196338773 | ||||||||
| FaxNumber: | 7196331905 | ||||||||
| Practice Location | |||||||||
| Address1: | 265 S PARKSIDE DR | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809103141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7196338773 | ||||||||
| FaxNumber: | 7196331905 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2005 | ||||||||
| LastUpdateDate: | 04/05/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | 22778 | CO | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 01227784 | 05 | CO | MEDICAID |