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Individual

STEPHANIE JO KLUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2535 S DOWNING ST STE 180F, DENVER, CO 80210-5847
(303) 762-0808
(303) 762-9292
Mailing address
2535 S DOWNING ST STE 180F, DENVER, CO 80210-5847
(303) 762-0808
(303) 762-9292

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005428
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1152106
NCCPA
01
PA.0005428
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
07/18/2018
Last updated
04/03/2020
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