Individual
DR. GERALD L STOLARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
417 UNIVERSITY ST STE 1, TRINIDAD, CO 81082-2560
(505) 506-1230
(719) 846-6297
Mailing address
629 PECOS AVE, RATON, NM 87740-4158
(505) 506-1230
(719) 846-2941
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0002462
CO
171100000X
Acupuncturist
DOM1249
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002462
COLORADO OFFICE OF ACUPUNCTURE LICENSURE
CO
Enumeration date
01/08/2019
Last updated
05/13/2021
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