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1245573898
DEREK GERALD STADIE
FORT COLLINS, CO
NPI
1245573898
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Professional Name
DEREK GERALD STADIE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CO DR.0055802)
Enumeration Date
2013-04-02
Last Update Date
2018-06-12
Business Address
DEREK GERALD STADIE
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Phone number: 303-306-7783
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Mailing Address
DEREK GERALD STADIE
PO BOX 91225
DENVER, CO 80291-2215
Phone number: 303-306-7783
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