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Organization

VAIDA M. STOIK MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VAIDA MACIUTE STOIK M.D. (PRESIDENT)
(937) 477-4872
Entity
Organization

Contact information

Practice address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 216-3745
(505) 982-5003
Mailing address
1650 HOSPITAL DR, SUITE 200, SANTA FE, NM 87505-4769
(505) 216-3745
(505) 982-5003

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD2008-0204
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2492888
OH
Enumeration date
10/21/2008
Last updated
10/21/2008
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