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NPI Code Detail

MEDICARE: MS. HEATHER MARIE QUINTERO-STALLMAN

MEDICARE: MS. HEATHER MARIE QUINTERO-STALLMAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1992132088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER MARIE QUINTERO-STALLMAN
Provider Business Mailing Address
First Line : 2217 S LOGAN ST
Second Line :
City : DENVER
State : CO
Zip : 80210-4429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1724 GILPIN ST
Second Line :
City : DENVER
State : CO
Zip : 80218-1206
Country : US
Telephone Number : 303-237-6865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 10/03/2013

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Directions to “ MS. HEATHER MARIE QUINTERO-STALLMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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