Individual
MARY M STENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 RIVERGATE UNIT 210, DURANGO, CO 81301-7488
(970) 247-0042
(970) 259-8837
Mailing address
PO BOX 15000, DURANGO, CO 81302-8901
(970) 259-2525
(970) 247-0421
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25329
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253293
—
CO
05
—
E6819
—
NM
Enumeration date
01/10/2007
Last updated
07/08/2007
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