Healthcare Provider Details

I. General information

NPI: 1437084522
Provider Name (Legal Business Name): EPIFLUENCE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 6TH ST
HUGO CO
80821-2002
US

IV. Provider business mailing address

742 JOSEPH CIR
GOLDEN CO
80403-2348
US

V. Phone/Fax

Practice location:
  • Phone: 719-743-2421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DONALD EUGENE STADER III
Title or Position: CEO
Credential: MD
Phone: 703-678-5033