Provider Demographics
NPI:1174848808
Name:STROMBERG, DAVID G (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:G
Last Name:STROMBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:933 BRADBURY DR SE STE 2222
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4375
Mailing Address - Country:US
Mailing Address - Phone:505-272-3120
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:2400 TUCKER NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-1734
Practice Address - Fax:505-272-6308
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2023-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2013-0663207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN