NPI 1285299206

Alexandra Elizabeth Chacko-Stacey, MD

Practitioner Obstetrics & Gynecology Physician Longmont, CO

Practice location

Address: 1760 E Ken Pratt Blvd STE 201, Longmont, CO 80504-5311
Phone: (720) 718-8222
Fax: (720) 718-0954
Mailing address: 2695 Rocky Mountain Ave STE 150, Loveland, CO 80538-9071

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence DR.0071257 (CO)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1285299206
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2019
Record last updated: 21 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.