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Individual

DR. JAN HARRIS STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13772 DENVER WEST PKWY, BLDG#55 STE#100, LAKEWOOD, CO 80401-3139
(303) 279-6600
Mailing address
13772 DENVER WEST PKWY, BLDG#55 STE#100, LAKEWOOD, CO 80401-3139
(303) 279-6600

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31047
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04007241
CO
01
180020563
RAILROAD MEDICARE
CO
01
K2878
MEDICARE LEGACY
CO
Enumeration date
05/02/2006
Last updated
06/05/2023
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