Most Relevant Information
Provider Data
| NPI Number: | 1003234030 |
| Provider Name: | STEFAN MICHAEL BUMOL |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | DR.0062808 |
Most Important Dates
| Enumeration Date: | 04/07/2014 |
| Last Updated: | 06/27/2019 |
Provider Practice Location
4455 E 12TH AVE
DENVER
CO
802202415
Practice Location Phone/Fax
| Phone: | 3035047700 |
| Fax: |
Provider Mailing Location
4455 E 12TH AVE
DENVER
CO
802202415
Provider Mailing Phone/Fax
| Phone: | 3035047700 |
| Fax: |
Suggested EMR
Psychiatry EMR