Provider Demographics
NPI:1952634933
Name:RICHARD E. STIEFLER, M.D.
Entity Type:Organization
Organization Name:RICHARD E. STIEFLER, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:STIEFLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-245-1500
Mailing Address - Street 1:2530 N 8TH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8857
Mailing Address - Country:US
Mailing Address - Phone:970-245-1500
Mailing Address - Fax:
Practice Address - Street 1:2530 N 8TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8857
Practice Address - Country:US
Practice Address - Phone:970-245-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty