Healthcare Provider Details
I. General information
NPI: 1023155389
Provider Name (Legal Business Name): SARAH ANNE STELLA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2007
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
777 BANNOCK ST
DENVER CO
80204-4597
US
IV. Provider business mailing address
777 BANNOCK ST
DENVER CO
80204-4597
US
V. Phone/Fax
- Phone: 303-436-4949
- Fax: 303-602-5056
- Phone: 303-436-4949
- Fax: 303-602-5056
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | DR.0046625 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: