Provider Demographics
NPI:1548643281
Name:STONE, CHRISTINE MICHELE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MICHELE
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2229 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-2312
Mailing Address - Country:US
Mailing Address - Phone:303-641-6002
Mailing Address - Fax:303-678-8533
Practice Address - Street 1:702 10TH AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-4536
Practice Address - Country:US
Practice Address - Phone:303-641-6002
Practice Address - Fax:303-678-8533
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine