| Doctor Name: | STEPHEN AXELROD |
| NPI Number: | 1104212927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 22831 |
| Business Practice Address: | 2111 S Trenton Way Suite 101 Denver, CO - 802317012 |
| Business Phone Number: | 3033991088 |
| Business Fax Number: | |
| Mailing Address: | 45 S Dexter St, DENVER |
| State: | CO |
| Postal Code: | 802461050 |
| Phone Number: | 3033991088 |
| Fax Number: | |
| NPI Enumeration Date: | 04/08/2015 |
| NPI Last Update Date: | 04/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 22831 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |