Individual
STEPHEN L PILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3325 WILWAY AVE NE, ALBUQUERQUE, NM 87106-1942
(505) 262-1810
(505) 262-1810
Mailing address
3325 WILWAY AVE NE, ALBUQUERQUE, NM 87106-1942
(505) 262-1810
(505) 262-1810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
94-355
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A015
TRICARE
NM
05
—
E8375
—
NM
Enumeration date
05/24/2006
Last updated
07/08/2007
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