NPI 1376924449 · live from the CMS NPI Registry
Steven Michael Antonovich, D.O.
Anesthesiology in Castle Rock, CO. National Provider Identifier 1376924449, active.
NPI record
| NPI | 1376924449 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 2350 Meadows Blvd, Castle Rock, CO 80109 |
| Practice phone | 720-455-2548 |
| Mailing address | 8000 E Maplewood Ave, Greenwood Village, CO 80111 |
| Enumerated | June 15, 2015 |
| Last updated | August 3, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL0005822 (CO) |
| Anesthesiology primary | 207L00000X | DR.0061565 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.