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Individual

ROBERT C STEMSRUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST BLDG D STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
80267
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM002675
BCBS
NM
01
0266220001
PALMETTO
01
100002018
LOVELACE
NM
05
19760
NM
01
20109622
PHP
NM
01
2967139
CIGNA
Enumeration date
08/09/2006
Last updated
05/06/2008
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