Individual
STACEY HONEYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11674 HURON ST, NORTHGLENN, CO 80234-4068
(303) 332-8750
Mailing address
PO BOX 740846, ARVADA, CO 80006-0846
(303) 332-8750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08277231
—
CO
Enumeration date
05/13/2016
Last updated
05/13/2016
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