Provider Information for 1306350137
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STACEY STRONG
Sex: Female
NPI: 1306350137
Last Updated: 2023-04-25
Certification Date: 2023-04-25
Certification Date: 2023-04-25
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306350137 | ||||||||||||
| Enumeration Date | 2017-12-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3533 S LISBON CT AURORA, CO 80013-7405 United States Phone: 720-470-9999 | Fax: | ||||||||||||
| Primary Practice Address | 12211 W ALAMEDA PKWY STE 201 LAKEWOOD, CO 80228-2825 United States Phone: 720-470-6999 | Fax: | ||||||||||||
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