Individual
DR. MICHELLE KUNTZ STANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15464 E ORCHARD RD, CENTENNIAL, CO 80016-3005
(303) 680-5437
(303) 680-5439
Mailing address
15464 E ORCHARD RD, CENTENNIAL, CO 80016-3005
(303) 680-5437
(303) 680-5439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38052
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84308338
—
CO
Enumeration date
04/26/2006
Last updated
07/08/2007
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