Healthcare Provider Details

I. General information

NPI: 1629148473
Provider Name (Legal Business Name): SILVER ALTERNATIVE MEDICINE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 W. 13TH ST.
SILVER CITY NM
88061-4617
US

IV. Provider business mailing address

1301 NO. VIRGINIA ST.
SILVER CITY NM
88061-4617
US

V. Phone/Fax

Practice location:
  • Phone: 505-388-8858
  • Fax: 505-388-8858
Mailing address:
  • Phone: 505-388-8858
  • Fax: 575-388-8858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number337RX1
License Number StateNM

VIII. Authorized Official

Name: DR. PAUL HOWARD STUETZER
Title or Position: PRESIDENT
Credential: D.O.M.
Phone: 505-388-8858