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STACEY PFANNENSTIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2650 18T ST, STE 100, DENVER, CO 80211
(720) 583-4470
(888) 463-5887
Mailing address
2650 18TH ST, STE 100, DENVER, CO 80211
(720) 583-4470
(888) 463-5887

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2481
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52739015
CO
Enumeration date
01/10/2008
Last updated
05/01/2018
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