# DR. JASON A STIENECKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538455720
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 54259 | CO | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 34.010695 | OH | — |
| 207RP1001X | Pulmonary Disease Physician | 34.010695 | OH | Yes |
| 208D00000X | General Practice Physician | 34.010695 | OH | — |

## Other

- **Enumeration date:** 06/26/2011
- **Last updated:** 04/06/2022