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Contact Information

DEREK G STADIE
1024 S LEMAY AVE
FORT COLLINS, CO80524
 Phone: 303-306-7783
 Fax: 303-306-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DEREK G STADIE · (Male)

NPI # 1245573898
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2013
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0055802
Hospital affiliation(s)
  • MEDICAL CENTER OF THE ROCKIES - (Acute Care)
    2500 ROCKY MOUNTAIN AVENUE
    LOVELAND, CO 80538
  • POUDRE VALLEY HOSPITAL - (Acute Care)
    1024 S LEMAY AVE
    FORT COLLINS, CO 80524
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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