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NPI Code Detail

MEDICARE: DR. JOHN M STANLEY M.D.

MEDICARE: DR. JOHN M STANLEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician93-161NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710982525
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN M STANLEY M.D.
Provider Business Mailing Address
First Line : 530 DEMOSS STREET
Second Line : HIDALGO MEDICAL SERVICES
City : LORDSBURG
State : NM
Zip : 88045-2618
Country : US
Telephone Number : 575-542-8384
Fax Number : 575-542-2388
Provider Business Practice Location Address
First Line : 1007 N POPE ST
Second Line : HMS COMMUNITY HEALTH CENTER
City : SILVER CITY
State : NM
Zip : 88061-5161
Country : US
Telephone Number : 575-388-1511
Fax Number : 575-542-2388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 06/11/2014

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Directions to “ DR. JOHN M STANLEY M.D.” Practice Location

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