Individual
LINDA ELIZABETH SASHA STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1335 S MESA CT, SUPERIOR, CO 80027-8058
(720) 375-6900
Mailing address
1335 S MESA CT, SUPERIOR, CO 80027-8058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48506
CO
207Q00000X
Family Medicine Physician
G83879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G838790
—
CA
01
—
022184
KAISER COMMERCIAL NUMBER
CO
05
—
92006248
—
CO
Enumeration date
11/17/2006
Last updated
04/25/2017
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