Provider Demographics
NPI:1801117981
Name:LADD, STEPHEN CLARENDON (PA-C)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CLARENDON
Last Name:LADD
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:7093 CANNONSBURG RD NE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MI
Mailing Address - Zip Code:49306-9641
Mailing Address - Country:US
Mailing Address - Phone:616-723-3731
Mailing Address - Fax:
Practice Address - Street 1:10101 RIDGEGATE PKWY
Practice Address - Street 2:SUITE 490
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5522
Practice Address - Country:US
Practice Address - Phone:303-790-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-12
Last Update Date:2010-06-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant