Individual
DR. DAVID ALEX STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 FAIRWAY TER N STE B, CLOVIS, NM 88101
(575) 762-7779
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
87-389
NM
208D00000X
General Practice Physician
87-389
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002070
LOVELACE HEALTH SYSTEM
NM
01
—
128595101
SOUTHWEST LIFE & HEALTH
NM
05
—
E9226
—
NM
01
—
NM009Y93
BLUE CROSS/BLUE SHIELD
NM
Enumeration date
05/09/2006
Last updated
06/13/2018
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