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Individual

MARK STEPHEN STEHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37304
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22085874
CO
05
777287
AZ
05
85087815
NM
Enumeration date
11/04/2005
Last updated
12/26/2007
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