Healthcare Provider Details

I. General information

NPI: 1407732126
Provider Name (Legal Business Name): DR. STEVIE DEJUAN SPRINGER NATUROPATHIC DOCTOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6012 LOLA DR NE
ALBUQUERQUE NM
87109-3738
US

IV. Provider business mailing address

6012 LOLA DR NE
ALBUQUERQUE NM
87109-3738
US

V. Phone/Fax

Practice location:
  • Phone: 505-730-8739
  • Fax:
Mailing address:
  • Phone: 505-730-8739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: