Provider Demographics
NPI:1265691802
Name:STONE, AUTUMN L (MD)
Entity type:Individual
Prefix:DR
First Name:AUTUMN
Middle Name:L
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9998 N DRANSFELDT ROAD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134
Mailing Address - Country:US
Mailing Address - Phone:303-841-5266
Mailing Address - Fax:303-841-7590
Practice Address - Street 1:9998 N DRANSFELDT RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4022
Practice Address - Country:US
Practice Address - Phone:303-841-5266
Practice Address - Fax:303-841-7590
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO36296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine