Individual
DR. MARCIA SCHULTE STAUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3545 W 12TH ST, STE. 101, GREELEY, CO 80634-2545
(970) 352-4200
(970) 352-4278
Mailing address
3545 W 12TH ST, STE. 101, GREELEY, CO 80634-2545
(970) 352-4200
(970) 352-4278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1282
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08012825
—
CO
Enumeration date
10/13/2006
Last updated
04/16/2008
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