Whalio Doctors

NPI 1134111461

Robert Michael Stack, MD

Practitioner Orthopaedic Surgery Physician Las Cruces, NM

Practice location

Address
675 Avenida de Mesilla, Las Cruces, NM 88005
Phone
(505) 525-3535
Fax
(505) 527-0217
Mailing address
PO Box 1560, Las Cruces, NM 88004

Registered specialties

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 78268 (NM)

Registry record

NPI
1134111461
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Aug 2005
Record last updated
29 Oct 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.