Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL FISK DESTEFANO, MD
ActiveSAMUEL FISK DESTEFANO, MD is a 2084E0001X healthcare provider located in LITTLETON, Colorado. NPI 1114260619 is currently active in the NPPES registry. Verify at CMS.
2084E0001X · LITTLETON, CO
Registration Details
- NPI Number
- 1114260619
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2013 (13.392707072592 yrs)
- Last Updated
- Dec 3, 2025
- Licenses
-
CDRH.0058144 (CO)0058144 (CO)036-176812 (IL)DR.0058144 (CO)DR.0058144 (CO)
Practice Information
- Address
-
7780 S BROADWAY STE 350LITTLETON, CO, 801222641Browse CO providers · Browse ZIP 80122
- Phone
- 3037304400
- Fax
- 3037304401
- Primary Specialty
-
2084E0001X
2084E0001X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- Clinical Neurophysiology
- Additional Specialty
- 2084E0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.