Individual
ELIZABETH E STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 BENEDICTA AVE, SUITE A, TRINIDAD, CO 81082-2099
(719) 846-2206
Mailing address
400 BENEDICTA AVE, TRINIDAD, CO 81082-2099
(719) 846-2206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0056640
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55684211
—
CO
Enumeration date
01/27/2006
Last updated
05/10/2022
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