Organization
DAVID A STALKER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. STALKER MD (OWNER)
(575) 762-7779
Entity
Organization
Contact information
Practice address
233 FAIRWAY TER N STE B, CLOVIS, NM 88101-3060
(575) 762-7779
(575) 762-3526
Mailing address
PO BOX 833, CLOVIS, NM 88102-0833
(575) 762-7779
(575) 762-3526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E9226
—
NM
Enumeration date
05/08/2006
Last updated
04/07/2020
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