Individual
DR. COSETTE M. STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0059894
CO
2085R0204X
Vascular & Interventional Radiology Physician
R1656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
639314YQ33
MEDICARE
CO
01
—
639314YQ3L
MEDICARE
CO
01
—
639314YQN9
MEDICARE
CO
01
—
639314YQPG
MEDICARE
CO
01
—
639314ZLJ3
MEDICARE
CO
01
—
649869
MEDICARE
CO
05
—
9000158871
—
CO
01
—
NA1214133
MEDICARE
NE
01
—
NA1215134
MEDICARE
NE
01
—
NA2517110
MEDICARE
NE
Enumeration date
06/18/2011
Last updated
03/31/2024
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