Individual
DEBRA A STAMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7777
Mailing address
717 STARKEY CT, ERIE, CO 80516-7229
(303) 828-4525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125038
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017068
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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