Individual
DR. JUSTIN D STERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 SOMDG 208 W. CASABLANCA AVE BLDG 1400, CANNON AFB, NM 88103
(575) 784-0287
Mailing address
1400 FAIRWAY TER, APT. 18, CLOVIS, NM 88101-3085
(616) 635-1025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25799
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2009
Last updated
12/16/2010
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