Individual
DANIEL STEPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
575 RIVERGATE, DURANGO, CO 81301-7487
(970) 247-3537
Mailing address
575 RIVERGATE, DURANGO, CO 81301-7487
(970) 247-3537
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-5705
CO
Other
Enumeration date
02/25/2019
Last updated
03/11/2021
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