Individual
STACI A LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-2345
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
PA2003-0020
NM
2080N0001X
Neonatal-Perinatal Medicine Physician
PA2003-0020
NM
Other
Enumeration date
08/01/2006
Last updated
03/14/2025
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