Individual
JANELLE R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
523 S CAMINO DEL RIO, STE B, DURANGO, CO 81303
(970) 247-1970
(970) 247-1970
Mailing address
523 S CAMINO DEL RIO, STE B, DURANGO, CO 81303
(970) 247-1970
(970) 259-1668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8695
CO
363A00000X
Physician Assistant
3765
CO
363A00000X
Physician Assistant
8433186-1206
UT
363A00000X
Physician Assistant
Primary
PA.0003765
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18757049
—
CO
05
—
9000128352
—
CO
Enumeration date
04/03/2006
Last updated
11/08/2022
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