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Stephanie Dettlebach, M.D
NPI 1629145990 · on the registry since 2006
Practice
- Address
- 1925 Mountain View Ave
Longmont, CO 80501 - Phone
- (303) 776-1234
- Fax
- (720) 494-3107
- Organisation at this address
- Longmont Clinic Lab
Poudre Valley Medical Group, Llc
University Physicians IncorporatedInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- MO, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado