Provider Demographics
NPI:1013340058
Name:STUMP, DEBORA SHAWN (DVM)
Entity Type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:SHAWN
Last Name:STUMP
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7521 INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-7138
Mailing Address - Country:US
Mailing Address - Phone:303-981-4663
Mailing Address - Fax:303-984-0677
Practice Address - Street 1:7521 INDIANA ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-7138
Practice Address - Country:US
Practice Address - Phone:303-981-4663
Practice Address - Fax:303-984-0677
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7503174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian