Organization
LAS CRUCES ORTHOPAEDIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL STACK MD (PRESIDENT)
(575) 525-3535
Entity
Organization
Contact information
Practice address
675 AVENIDA DE MESILLA, LAS CRUCES, NM 88005-3101
(575) 525-3535
(505) 527-0217
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(575) 525-3535
(505) 527-0217
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L3521
—
NM
Enumeration date
08/23/2005
Last updated
06/20/2019
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