Provider Demographics
NPI:1104277532
Name:HARABAGLIA, STEPHANIE WALKER (DO, MS)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:WALKER
Last Name:HARABAGLIA
Suffix:
Gender:F
Credentials:DO, MS
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:SHARON
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1725 E BOULDER ST STE 204
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5740
Mailing Address - Country:US
Mailing Address - Phone:719-471-1069
Mailing Address - Fax:719-577-4828
Practice Address - Street 1:1725 E BOULDER ST STE 204
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5740
Practice Address - Country:US
Practice Address - Phone:719-471-1069
Practice Address - Fax:719-577-4828
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0059411208M00000X
COTL0005956207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist