Provider Demographics
NPI:1629148473
Name:SILVER ALTERNATIVE MEDICINE, P.A.
Entity Type:Organization
Organization Name:SILVER ALTERNATIVE MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:STUETZER
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-388-8858
Mailing Address - Street 1:1301 NO. VIRGINIA ST.
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-4617
Mailing Address - Country:US
Mailing Address - Phone:505-388-8858
Mailing Address - Fax:575-388-8858
Practice Address - Street 1:506 W. 13TH ST.
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-4617
Practice Address - Country:US
Practice Address - Phone:505-388-8858
Practice Address - Fax:505-388-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM337RX1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM00R57JOtherBLUE CROSS BLUE SHIELD