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Contact Information

STEPHANIE M PARKS, DPM
500 WALTER ST NE STE 510A
ALBUQUERQUE, NM87102-2534
 Phone: 505-404-9922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STEPHANIE M PARKS · (Female)

NPI # 1760747844
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/05/2012
Last updated 05/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PDT-529
Hospital affiliation(s)
  • LOVELACE MEDICAL CENTER - (Acute Care)
    601 DR MARTIN LUTHER KING JR AVE NE
    ALBUQUERQUE, NM 87102
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
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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