Individual
STACEY RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1405 S 8TH AVE, SUITE 103, STERLING, CO 80751-4563
(970) 522-3304
(970) 522-4615
Mailing address
1144 BEATTIE DR, STERLING, CO 80751-3726
(970) 522-9011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1749
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13958844
—
CO
Enumeration date
06/07/2006
Last updated
04/28/2008
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