Provider Demographics
NPI:1003806811
Name:STOECKER, FRANCIS JOSEPH III (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:STOECKER
Suffix:III
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 DAKOTA ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-5102
Mailing Address - Country:US
Mailing Address - Phone:719-351-7921
Mailing Address - Fax:
Practice Address - Street 1:1313 DAKOTA ST SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5102
Practice Address - Country:US
Practice Address - Phone:719-351-7921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX746391367500000X
NMCRNA00201367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered