MEDICARE: STEPHEN PAUL STAMPP 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	208600000X	Surgery Physician	MD2017-0782	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1275824922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN PAUL STAMPP M.D.

Provider Business Mailing Address
First Line	:	141 N ROADRUNNER PKWY STE 121
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2000
Country	:	US
Telephone Number	:	575-800-7392
Fax Number	:	575-222-0876

Provider Business Practice Location Address
First Line	:	141 N ROADRUNNER PKWY STE 121
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-2000
Country	:	US
Telephone Number	:	575-800-7392
Fax Number	:	575-522-4932

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

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	12/04/2025

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