Individual
SAMANTHA JO STEELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1309 SUNSET ST, LONGMONT, CO 80501-3215
(303) 772-5578
(970) 482-0679
Mailing address
670 ARCHES CT, BERTHOUD, CO 80513-2684
(970) 381-2803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2835
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104151570
NPI
CO
01
—
2835
STATE LICENSE
CO
01
—
MS2045208
DEA
CO
Enumeration date
10/02/2009
Last updated
10/02/2024
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