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Contact Information

JUSTIN D STERETT, MD
27 SOMDG 208 W. CASABLANCA AVE BLDG 1400
CANNON AFB, NM88103
 Phone: 575-784-0287
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JUSTIN D STERETT · (Male)

NPI Number 1568690113
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2009
Last updated 12/16/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 25799
Hospital affiliation(s) Not Available
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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