Basic Information
Provider Information
NPI: 1871753038
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILO
FirstName: STEVEN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 668
Address2:  
City: ARVADA
State: CO
PostalCode: 800010668
CountryCode: US
TelephoneNumber: 0334229438
FaxNumber:  
Practice Location
Address1: 4380 S SYRACUSE ST STE 120
Address2:  
City: DENVER
State: CO
PostalCode: 802373094
CountryCode: US
TelephoneNumber: 3034229438
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/11/2008
LastUpdateDate: 06/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X252430NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X49433COY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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