Individual
DR. ALEXANDRA ELIZABETH CHACKO-STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1760 E KEN PRATT BLVD STE 201, LONGMONT, CO 80504-5311
(720) 718-8222
(720) 718-0954
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0071257
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
11/21/2024
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