Individual
DR. STANLEY GUNSTREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, STE 300, FORT COLLINS, CO 80528-3400
(970) 224-9102
(970) 224-9112
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-8702
(970) 624-4443
(970) 490-4175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21719
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
21719
CO
207RP1001X
Pulmonary Disease Physician
21719
CO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
21719
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063482982
—
CO
01
—
290007465
RAILROAD MEDICARE
CO
Enumeration date
01/24/2006
Last updated
01/26/2015
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