=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437084522
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EPIFLUENCE HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2026
-----------------------------------------------------
Last Update Date | 06/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 6TH ST
-----------------------------------------------------
City | HUGO
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80821-2002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-743-2421
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 742 JOSEPH CIR
-----------------------------------------------------
City | GOLDEN
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80403-2348
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. DONALD EUGENE STADER III
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 703-678-5033
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RA0401X
-----------------------------------------------------
Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------