Individual
SAMANTHA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 CAMINO DE SALUD, ALBUQUERQUE, NM 87106-3782
(505) 272-1754
(505) 925-4594
Mailing address
1823 CAMINO DE SALUD, ALBUQUERQUE, NM 87106-3782
(505) 272-1754
(505) 925-4594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004612
CO
363A00000X
Physician Assistant
Primary
PA2024-0024
NM
Other
Enumeration date
04/22/2016
Last updated
07/22/2024
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