Individual
DANE HADEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E PAVILION PL UNIT B, MONTROSE, CO 81401
(970) 249-1210
(970) 249-3057
Mailing address
1800 E PAVILION PL UNIT B, MONTROSE, CO 81401-5499
(970) 249-1210
(970) 249-3057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R74549
AZ
207W00000X
Ophthalmology Physician
Primary
DR.0059786
CO
207W00000X
Ophthalmology Physician
MT207872
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205253408
—
VA
Enumeration date
03/25/2014
Last updated
04/04/2019
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