Individual
DR. CHRISTIAN MARTIN STOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
191 E ORCHARD RD, SUITE 200, LITTLETON, CO 80121-8000
(303) 788-3100
Mailing address
504 PEARL ST, APARTMENT 16, DENVER, CO 80203-3853
(918) 640-7658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
48943
CO
208D00000X
General Practice Physician
Primary
58-002193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48943
STATE MEDICAL LICENSE
CO
01
—
58-002193
TRAINING LICENSE
OH
01
—
TL-2844
TRAINING
CO
Enumeration date
04/17/2007
Last updated
07/21/2010
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