Individual
MA STELLA OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
(719) 589-5722
Mailing address
1012 BELMONT AVE, LA JUNTA, CO 81050-2101
(719) 383-5900
(719) 383-6533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39744
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370020632
TRAVELERS MEDICARE
—
05
—
59236825
—
CO
01
—
840706945109
ROCKY MOUNTAIN HEALTH PLA
CO
01
—
OC654645
ANTHEM BCBS
CO
Enumeration date
10/13/2005
Last updated
01/05/2022
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