Individual
DR. STEPHANIE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-4000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR0051629
CO
207Q00000X
Family Medicine Physician
R71375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R71375
TRAINING PERMIT
AZ
Enumeration date
07/01/2009
Last updated
05/14/2024
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