Individual
JOHN MARTIN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8020 CONSTITUTION PLACE NE, #101, ALBUQUERQUE, NM 87110
(505) 998-1317
(505) 998-1308
Mailing address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD20050632
NM
2085R0204X
Vascular & Interventional Radiology Physician
MD2005-0632
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002839
—
NM
05
—
974586
—
AZ
Enumeration date
02/28/2006
Last updated
02/23/2012
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