| Stevens Medical Center Inc | |
|
7123 Prospect Pl Ne Albuquerque NM 87110-4313 | |
| (505) 299-6331 | |
| (505) 298-0037 |
| Full Name | Stevens Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7123 Prospect Pl Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Dana Tuma (PRACTICE MANAGER) |
| Authorized Official Contact | 5052996331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevens Medical Center Inc 7123 Prospect Pl Ne Albuquerque NM 87110-4313 Ph: (505) 299-6331 | Stevens Medical Center Inc 7123 Prospect Pl Ne Albuquerque NM 87110-4313 Ph: (505) 299-6331 |
| NPI Number | 1679117352 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 03/26/2020 |
| Medicare PECOS PAC ID | 3274968946 |
|---|---|
| Medicare Enrollment ID | O20200128000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679117352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark J Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013145531 PECOS PAC ID: 1254591274 Enrollment ID: I20160621000818 |
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