Individual
STEFANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2130 STOUT ST., DENVER, CO 80205-2526
(303) 293-2220
(303) 293-3977
Mailing address
2130 STOUT ST, DENVER, CO 80205-2526
(303) 293-2220
(303) 293-3977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1013
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19704852
—
CO
Enumeration date
02/26/2007
Last updated
09/04/2014
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