Organization
PREMIER CARE LAS CRUCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FEESE (EXECUTIVE DIRECTOR)
(573) 860-2273
Entity
Organization
Contact information
Practice address
STEFAN C SCHAEFER MD, 2465 S TELSHOR BLVD, LAS CRUCES, NM 88011
(505) 556-0101
(505) 522-0808
Mailing address
PO BOX 220, SULLIVAN, MO 63080-0220
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
CL00010409
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3211327
OTHER ID NUMBER
—
05
—
85804762
—
NM
Enumeration date
08/10/2006
Last updated
11/19/2007
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