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NPI Code Detail

MEDICARE: DR. VERA M STALEY MD

MEDICARE: DR. VERA M STALEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P0004XSpinal Cord Injury Medicine PhysicianDR.0068258CO
2208100000XPhysical Medicine & Rehabilitation PhysicianDR.0068258CO

General Provider Information

NPI Number : 1053849489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA M STALEY MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-602-1590
Fax Number : 303-602-1664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 05/14/2024

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Directions to “ DR. VERA M STALEY MD” Practice Location

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