Individual
STACEY ISIDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-2231
(505) 272-8098
Mailing address
MSC10 5600, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-2231
(505) 272-8098
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2020
Last updated
03/19/2024
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