Individual
STEPHANIE CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1016 W SPRUCE ST UNIT A, RAWLINS, WY 82301-5371
(307) 328-5595
(307) 328-5561
Mailing address
PO BOX 1687, RAWLINS, WY 82301-1687
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11866C
WY
207Q00000X
Family Medicine Physician
4056
CO
207Q00000X
Family Medicine Physician
DR.0051537
CO
208M00000X
Hospitalist Physician
51537
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01788566
—
CO
Enumeration date
06/25/2011
Last updated
03/22/2023
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