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NPI Code Detail

MEDICARE: SONJA KIRSTEN STILP M.D.

MEDICARE: SONJA KIRSTEN STILP M.D.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician41802CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659304343
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA KIRSTEN STILP M.D.
Provider Business Mailing Address
First Line : 4450 ARAPAHOE AVE STE 100
Second Line :
City : BOULDER
State : CO
Zip : 80303-9102
Country : US
Telephone Number : 303-448-8843
Fax Number : 303-635-6859
Provider Business Practice Location Address
First Line : 311 MAPLETON AVE
Second Line : SUITE 100
City : BOULDER
State : CO
Zip : 80304-3979
Country : US
Telephone Number : 303-448-8843
Fax Number : 303-635-6859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 03/12/2014

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