Individual
DEVIN LEAH STANIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027
Mailing address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027
(719) 582-2948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2258
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96289201
—
CO
Enumeration date
11/03/2006
Last updated
08/14/2026
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