STEPHEN SAMUEL HAVERLY

DURANGO, CO
NPI1114034550
Professional NameSTEPHEN S HAVERLY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  42845)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CA  A77557)
Enumeration Date2006-08-23
Last Update Date2014-04-03
Business Address
STEPHEN SAMUEL HAVERLY
1010 THREE SPRINGS BLVD
DURANGO, CO 81301-8296
Phone number: 303-306-7783
Mailing Address
STEPHEN SAMUEL HAVERLY
PO BOX 17752
DENVER, CO 80217-0752
Phone number: 303-306-7783