Organization
ROCKY MOUNTAIN AUDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIA BERNICE STAKIW AU.D. (OWNER/AUDIOLOGIST)
(970) 404-0978
Entity
Organization
Contact information
Practice address
56 EDWARDS VILLAGE BLVD, SUITE 222, EDWARDS, CO 81632-7802
(970) 926-6660
Mailing address
56 EDWARDS VILLAGE BLVD, SUITE 222, EDWARDS, CO 81632-7802
(970) 926-6660
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD391
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83786562
—
CO
05
—
96822066
—
CO
Enumeration date
08/10/2011
Last updated
10/13/2020
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