Individual provider · Type 1 NPI

Matt Stacy

Specialist · Denver, CO

NPI number 1659042265 Active

Practice location

3401 Eudora St
Denver, CO 80207-2500

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1659042265

Matt Stacy's National Provider Identifier is 1659042265, issued on Sep 23, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Denver, CO. The record was last updated on Sep 23, 2021.