Healthcare Provider Details

I. General information

NPI: 1689672735
Provider Name (Legal Business Name): RICHARD EDWARD STIEFLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 COYOTE CIR
CRESTED BUTTE CO
81224-9640
US

IV. Provider business mailing address

178 COYOTE CIR
CRESTED BUTTE CO
81224-9640
US

V. Phone/Fax

Practice location:
  • Phone: 970-589-4259
  • Fax:
Mailing address:
  • Phone: 970-589-4259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberDR.0019716
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number19716
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: