Provider Demographics
NPI:1205995511
Name:STELZNER, ALEX B (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:B
Last Name:STELZNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:800 BRADBURY DR SE STE 116
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4310
Mailing Address - Country:US
Mailing Address - Phone:505-272-1476
Mailing Address - Fax:505-272-3202
Practice Address - Street 1:301 SAN PABLO AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108
Practice Address - Country:US
Practice Address - Phone:505-272-9242
Practice Address - Fax:505-272-1538
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2024-10-23
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Provider Licenses
StateLicense IDTaxonomies
NMNM2004-0741208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H60337Medicare UPIN