John Bryan Stuppy is a Clinical in Santa Fe, New Mexico. John Bryan Stuppy practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Bryan Stuppy is 1811982135. The last update date is 2008-01-17.
John Bryan Stuppy's current location address is 2891 Clark Ct, Santa Fe, New Mexico. You can contact this provider via phone number 5059304550 and fax number 5054744550. The mailing address for John Bryan Stuppy is 2891 Clark Ct, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Bryan Stuppy |
|---|---|
| Address | 2891 Clark Ct, Santa Fe, New Mexico |
| Phone Number | 5059304550 |
| Fax Number | 5054744550 |
| Sole Proprietor | N |
| Credentials | LISW, LADA |
NPI Number Detail
| NPI Number | 1811982135 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 2891 Clark Ct |
|---|---|
| City | Santa Fe |
| State | New Mexico (NM) |
| Post Code | 875075179 |
| Phone Number | 5059304550 |
| Fax Number | 5054744550 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-6160 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60759364 | NM | -- | |
| 53052552 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Bryan Stuppy by the Centers for Medicare & Medicaid Services?
The John Bryan Stuppy has been assigned the NPI (National Provider Identifier) 1811982135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where John Bryan Stuppy is located?
The John Bryan Stuppy is situated at the following address: 2891 Clark Ct, Santa Fe, NM, 875075179.
What is the John Bryan Stuppy's area of specialization and corresponding taxonomy classification?
The John Bryan Stuppy's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the John Bryan Stuppy receive its 1811982135?
The John Bryan Stuppy was issued its 1811982135 on 2005-09-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding John Bryan Stuppy most recently updated?
The details pertaining to the John Bryan Stuppy, including its address, specialty, and other relevant information, were last refreshed on 2008-01-17.