Dr Stephen E Southard Jr, MD | |
1160 Hickory Way, Erie, CO 80516-7994 | |
(617) 840-8445 | |
(617) 789-9549 |
Full Name | Dr Stephen E Southard Jr |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1160 Hickory Way, Erie, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316074776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L-228504 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | CDRH.0061297 (Colorado) | Primary |
Entity Name | Wellesley Primary Care Medicine, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750502795 PECOS PAC ID: 7810092236 Enrollment ID: O20070413000215 |
Mailing Address | Practice Location Address |
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Dr Stephen E Southard Jr, MD 1160 Hickory Way, Erie, CO 80516-7994 Ph: (617) 840-8445 | Dr Stephen E Southard Jr, MD 1160 Hickory Way, Erie, CO 80516-7994 Ph: (617) 840-8445 |
Susan Elizabeth Cruse, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Erie Pkwy Ste 201e, Erie, CO 80516 Phone: 303-415-8820 Fax: 303-938-3499 | |
Francisco Javier Barajas De La Rocha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Erie Pkwy Ste 201c, Erie, CO 80516 Phone: 303-415-5816 Fax: 303-292-0625 | |
Angela M. Kloepfer-shapiro, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Erie Pkwy Ste 201e, Erie, CO 80516 Phone: 303-415-8820 Fax: 303-938-3499 |