Individual
DR. DAVID A. STOLTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3031 HOT SPRINGS BLVD, LAS VEGAS, NM 87701-4120
(505) 425-6788
(505) 425-5408
Mailing address
111 N RAILROAD AVE, P.O. BOX 158, ESPANOLA, NM 87532-2627
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-322
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32672
—
NM
Enumeration date
08/31/2005
Last updated
06/21/2008
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