DEREK GERALD STADIE

FORT COLLINS, CO
NPI1245573898
Professional NameDEREK GERALD STADIE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  DR.0055802)
Enumeration Date2013-04-02
Last Update Date2018-06-12
Business Address
DEREK GERALD STADIE
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Phone number: 303-306-7783
Mailing Address
DEREK GERALD STADIE
PO BOX 91225
DENVER, CO 80291-2215
Phone number: 303-306-7783
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