Individual
DR. PAUL MARIO DE STEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 HOSPITAL DR, SUITE #500, SANTA FE, NM 87505-4769
(505) 954-4290
(505) 954-4058
Mailing address
1650 HOSPITAL DR, SUITE #500, SANTA FE, NM 87505-4769
(505) 954-4290
(505) 954-4058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
98-39
NM
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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