Individual
STEPHANIE HUBBARD MCGIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC 09-5040, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-6607
(505) 272-8045
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-0768
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2014-0397
NM
Other
Enumeration date
04/15/2014
Last updated
08/27/2019
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