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Samuel Fisk Destefano, MD
Clinical Neurophysiology Physician in Aurora, Colorado
NPI 1114260619

Samuel Fisk Destefano is a Clinical Neurophysiology Physician based in Aurora, CO and is specialized in Clinical Neurophysiology. Samuel Fisk Destefano practices in Aurora, CO and has the professional credentials of MD. The NPI Number for Samuel Fisk Destefano is 1114260619 and holds a License No. DR.0058144 (Colorado).

The current practice location address for Samuel Fisk Destefano is 13001 E 17Th Pl, Aurora, CO and can be reached out via phone at 303-724-4330.

Location: 13001 E 17Th Pl, Aurora, CO, 80042-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114260619
Provider Name
Samuel Fisk Destefano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13001 E 17Th Pl, Aurora, CO, 80042-0429
Phone Number
303-724-4330
Fax Number
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13001 E 17Th Pl
City
Aurora
State
Colorado
Zip
80045
Phone Number
303-724-4330
Fax Number
person
Provider Business Mailing Address Details
Address
13001 E 17Th Pl
City
Aurora
State
Colorado
Zip
80045
Phone Number
303-724-4330
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Epilepsy
Taxonomy
2084E0001X
License No.
DR.0058144 (Colorado)
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
0058144 (Colorado)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
DR.0058144 (Colorado)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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