ERIC W STOLTZFUS MD NPI 1104817782

NPI Information

Eric W Stoltzfus, MD is a child and adolescent psychiatry psychiatry neurology in Farmington, NM. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Eric W Stoltzfus, MD NPI is 1104817782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

555 S SCHWARTZ AVE
FARMINGTON, NM
ZIP 87401-955
Phone: (505) 609-6680
Fax: (505) 325-1722

The NPI 1104817782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 4/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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