Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0000817 | CO |
N | 213ES0103X | Foot & Ankle Surgery | 5901002600 | MI |
NPI | 1043693666 |
---|---|
Provider Name | Dr. Stefanie Ann Flippin |
First Address | Lakewood, CO 80226-2802 |
Second Address | Lakewood, CO 80226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2015 |
Last Update Date | 24/05/2018 |