Individual
STEPHEN MARSHALL CORRIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3450 ZAFARANO DRIVE SUITE C, ASPEN MEDICAL GROUP, LLC, SANTA FE, NM 87507-2669
(505) 466-5885
(505) 466-5886
Mailing address
3450 ZAFARANO DRIVE SUITE C, ASPEN MEDICAL GROUP, LLC, SANTA FE, NM 87507
(505) 466-5885
(505) 466-5886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A125764
NM
207R00000X
Internal Medicine Physician
A125764
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
09/06/2006
Last updated
10/14/2013
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