MEDICARE: DR. SANDRA STOCKER SCHER 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
1	207Q00000X	Family Medicine Physician	2002-0443	NM

General Provider Information

NPI Number	:	1255527560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA STOCKER SCHER M.D.

Provider Business Mailing Address
First Line	:	1462 MIRACERROS LOOP N
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4022
Country	:	US
Telephone Number	:	505-955-1748
Fax Number	:	505-665-7879

Provider Business Practice Location Address
First Line	:	1462 MIRACERROS LOOP N
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4022
Country	:	US
Telephone Number	:	505-665-2647
Fax Number	:	505-665-7879

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	09/20/2007

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