Individual
DARRYL JAMES STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY BLVD, ALBUQUERQUE, NM 87131-0001
(505) 486-5280
Mailing address
1 UNIVERSITY BLVD, ALBUQUERQUE, NM 87131-0001
(505) 486-5280
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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