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Contact Information

STACI A LOGUE, PA-C
601 DR MARTIN LUTHER KING JR AVE NE
ALBUQUERQUE, NM87102-3619
 Phone: 505-727-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STACI A LOGUE · (Female)

NPI Number 1922014646
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/01/2006
Last updated 03/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2003-0020
Hospital affiliation(s)
  • LOVELACE MEDICAL CENTER - (Acute Care)
    601 DR MARTIN LUTHER KING JR AVE NE
    ALBUQUERQUE, NM 87102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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