Healthcare Provider Details

I. General information

NPI: 1831270719
Provider Name (Legal Business Name): DONALD J STINAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 11TH ST
SILVER CITY NM
88061-5510
US

IV. Provider business mailing address

PO BOX 2857
SILVER CITY NM
88062-2857
US

V. Phone/Fax

Practice location:
  • Phone: 505-388-0184
  • Fax: 505-388-0186
Mailing address:
  • Phone: 575-388-0184
  • Fax: 505-388-0186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number97381
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number97381
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number97381
License Number StateNM
# 4
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number97381
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: