Individual provider · NPI-1

Stephen Marshall Corriz, DO

Emergency Medicine · Santa Fe, NM

NPI number1346343324
StatusActive
Last updated in NPPESOct 14, 2013

Details

NPI
1346343324
Entity type
Individual (NPI-1)
Name
Stephen Marshall Corriz
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2006
Last updated
Oct 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineA125764NMYes
207R00000X Internal MedicineA125764NM

Practice location

3450 Zafarano Drive Suite C
Aspen Medical Group, LLC
Santa Fe, NM 87507-2669

Phone 505-466-5885 · Fax 505-466-5886

Mailing address

3450 Zafarano Drive Suite C
Aspen Medical Group, LLC
Santa Fe, NM 87507

Phone 505-466-5885 · Fax 505-466-5886

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