Individual
JON HALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2269
(505) 272-5821
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A125160
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MB2014-0117
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2008
Last updated
03/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us