Individual
DONALD E STADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6911
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
164580
NC
207P00000X
Emergency Medicine Physician
Primary
DR.0054731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89655826
—
CO
Enumeration date
04/13/2010
Last updated
05/20/2015
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