Doctor Name: | ADELE L STULTZ |
NPI Number: | 1942344643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 84997 |
Business Practice Address: | 4803 Ward Rd Wheat Ridge, CO - 800331902 |
Business Phone Number: | 3034675133 |
Business Fax Number: | |
Mailing Address: | 4803 Ward Rd, WHEAT RIDGE |
State: | CO |
Postal Code: | 800331902 |
Phone Number: | 3034675133 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 84997 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |