STACEY DIMITT

GRANTS, NM
NPI1508151978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  7613)
Enumeration Date2011-06-14
Last Update Date2020-09-02
Business Address
STACEY DIMITT MD
1423 E ROOSEVELT AVE
GRANTS, NM 87020-2245
Phone number: 505-287-6500
Mailing Address
STACEY DIMITT MD
1423 E ROOSEVELT AVE
GRANTS, NM 87020-2245
Phone number: 505-287-6500
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