Individual
STEFAN M PETTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, SUITE 250, FORT COLLINS, CO 80528-3400
(970) 482-6456
(970) 482-3921
Mailing address
2121 E HARMONY RD, SUITE 250, FORT COLLINS, CO 80528-3400
(970) 482-6456
(970) 482-3921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39045
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15572358
—
CO
Enumeration date
08/17/2006
Last updated
01/23/2014
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