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Individual

DEREK GERALD STADIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 91225, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0055802
CO

Other

Enumeration date
04/02/2013
Last updated
06/12/2018
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