Individual
DARIA B STAKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
56 EDWARDS VILLAGE BLVD, 222, EDWARDS, CO 81632-7802
(970) 404-0978
Mailing address
433 STAGE COACH LN, NEW CASTLE, CO 81647-9473
(970) 404-0978
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-391
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12041091
ASHA
CO
01
—
AUD-391
STATE LICENSE
CO
Enumeration date
04/14/2008
Last updated
09/17/2020
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