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Individual

DR. STEPHANIE DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
455 KOKOPELLI BLVD STE C, FRUITA, CO 81521-8710
(970) 256-5285
(970) 256-5290
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 254-2642

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CDR.0000292
CO
207Q00000X
Family Medicine Physician
R74062
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R74062
TRAINING PERMIT
AZ
Enumeration date
06/24/2013
Last updated
04/06/2021
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