Individual
DR. STACIE LYNN RANNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
Mailing address
1131 N CEDAR BROOK RD, BOULDER, CO 80304-0446
(303) 443-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31018
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01310184
—
CO
Enumeration date
06/14/2006
Last updated
09/23/2009
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