MEDICARE: DR. RICHARD EDWARD STIEFLER 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
1	207N00000X	Dermatology Physician	DR.0019716	CO
2	174400000X	Specialist	19716	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1689672735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD EDWARD STIEFLER M.D.

Provider Business Mailing Address
First Line	:	178 COYOTE CIR
Second Line	:
City	:	CRESTED BUTTE
State	:	CO
Zip	:	81224-9640
Country	:	US
Telephone Number	:	970-589-4259
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 COYOTE CIR
Second Line	:
City	:	CRESTED BUTTE
State	:	CO
Zip	:	81224-9640
Country	:	US
Telephone Number	:	970-589-4259
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	08/29/2025

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