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Individual

DR. STUART M PRINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4318 TRAIL BOSS DR, STE 100, CASTLE ROCK, CO 80104-7512
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008018823
MO
207Q00000X
Family Medicine Physician
Primary
50280
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021780
KAISER COMMERCIAL NUMBER
CO
05
24737861
CO
Enumeration date
04/16/2009
Last updated
04/20/2021
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