Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE M DETTLEBACH, M.D.
ActiveDR. STEPHANIE M DETTLEBACH, M.D. is a Family Medicine healthcare provider located in LONGMONT, Colorado. NPI 1629145990 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LONGMONT, CO
Registration Details
- NPI Number
- 1629145990
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2006 (19.710113594979 yrs)
- Last Updated
- Jul 12, 2016
- Licenses
-
2009012781 (MO)DR.0057193 (CO)
Practice Information
- Address
-
1925 MOUNTAIN VIEW AVELONGMONT, CO, 805013128Browse CO providers · Browse ZIP 80501
- Phone
- 3037761234
- Fax
- 7204943107
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| SUSAN I ROACH | MD | 1467454694 |
| MARK LAITOS | MD | 1992707129 |
| MARY E FAINI | MD | 1144222373 |
| CHRISTOPHER C MADDEN | MD | 1689676819 |
| DR. MARK WALLACE HINMAN | M.D. | 1750385415 |
| DR. DAVID BRITT | MD | 1427052836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.