Individual
HOLLY RUNSTADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60201860
—
CO
Enumeration date
04/02/2007
Last updated
04/26/2012
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