Basic Information
Provider Information
NPI: 1003806811
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STOECKER
FirstName: FRANCIS
MiddleName: JOSEPH
NamePrefix:  
NameSuffix: III
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1313 DAKOTA ST SE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871085102
CountryCode: US
TelephoneNumber: 7193517921
FaxNumber:  
Practice Location
Address1: 1313 DAKOTA ST SE
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871085102
CountryCode: US
TelephoneNumber: 7193517921
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/24/2005
LastUpdateDate: 07/11/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XCRNA00201NMN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000X746391TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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