Provider Demographics
NPI:1093880114
Name:DRILLING, STEVEN JAMES (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JAMES
Last Name:DRILLING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 STANFORD DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2538
Mailing Address - Country:US
Mailing Address - Phone:505-255-7786
Mailing Address - Fax:
Practice Address - Street 1:801 ENCINO PL NE STE E12
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2646
Practice Address - Country:US
Practice Address - Phone:505-842-5151
Practice Address - Fax:505-842-5676
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA72981208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM40717Medicaid
F46368Medicare UPIN