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1871724476
RICHARD P STAM
ALBUQUERQUE, NM
NPI
1871724476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM 69-195)
Enumeration Date
2009-07-30
Last Update Date
2009-07-30
Business Address
-- RICHARD P STAM MD
1100 CENTRAL SE PMG URGENT CARE
ALBUQUERQUE, NM 87106
Phone number: 505-841-1819
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Mailing Address
-- RICHARD P STAM MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5364
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