Individual
STEPHANIE NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1960 N OGDEN ST STE 550, DENVER, CO 80218-3676
(303) 812-6850
Mailing address
3222 E 1ST AVE APT 725, DENVER, CO 80206-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0065019
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2014
Last updated
08/23/2022
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