Individual
R STEPHEN RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 E 30TH ST, BLDG C2, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Mailing address
2300 E 30TH ST, BLDG C2, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94-370
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094389
—
NM
Enumeration date
10/03/2006
Last updated
06/14/2012
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