Individual
MR. HECTOR RICARDO STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4517
(505) 925-0286
(505) 925-0100
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 925-0100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2016-0021
NM
Other
Enumeration date
10/24/2005
Last updated
10/23/2024
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