NPI 1104898063

Michelle Stam-Maclaren, MD

Practitioner Pediatrics Physician Gallup, NM

Practice location

Address: 2111 College Drive Rehoboth McKinley Christian Health Care Services, Gallup, NM 87301
Phone: (505) 863-1820
Mailing address: 1901 Redrock Dr Pfs Dept, Gallup, NM 87301-5683

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 98-397 (NM)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1104898063
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.