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MR. STACY JAY CHILDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 ANGLERS DR, STE 202, STEAMBOAT SPRINGS, CO 80487-8840
(970) 871-9710
(970) 871-9709
Mailing address
PO BOX 880310, SUITE 202, STEAMBOAT SPRINGS, CO 80488-0310
(970) 871-9710
(970) 871-9709

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34579
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01345792
CO
Enumeration date
10/02/2006
Last updated
04/25/2008
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