STACEY DIMITT, MD
Family Medicine
Active
Individual
NPI: 1508151978
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 7613 (KS) |
Frequently Asked Questions
NPI 1508151978 is the National Provider Identifier for STACEY DIMITT, MD, a Family Medicine provider located in Grants, NM. This NPI was enumerated on June 14, 2011.
STACEY DIMITT, MD practices at 1423 E ROOSEVELT AVE, Grants, NM 87020.
Quick Facts
- NPI
- 1508151978
- Type
- Individual
- Enumerated
- Jun 14, 2011
- Last Updated
- Sep 2, 2020
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