Individual
DR. ALFREDO STABNICK NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
(505) 998-3100
Mailing address
8020 CONSTITUTION PL NE STE 202, ALBUQUERQUE, NM 87110-7640
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
37790
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
MD2021-1181
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001389198
—
AZ
05
—
76856739
—
NM
Enumeration date
05/01/2006
Last updated
05/07/2024
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