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Individual

DR. STEPHEN L LUDWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 KOKOPELLI BLVD, UNIT C, FRUITA, CO 81521-8710
(970) 256-5285
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 256-5285

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22481
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01224815
CO
Enumeration date
10/23/2006
Last updated
02/02/2016
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