Individual
DR. STAN H CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 751-5835
Mailing address
2015 LA MESA DR, RATON, NM 87740
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2009-0462
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15625265
—
NM
Enumeration date
06/24/2006
Last updated
08/14/2017
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