Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY DIMITT, MD
ActiveSTACEY DIMITT, MD is a Family Medicine healthcare provider located in GRANTS, New Mexico. NPI 1508151978 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRANTS, NM
Registration Details
- NPI Number
- 1508151978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2011 (15.020709911613 yrs)
- Last Updated
- Sep 2, 2020
- License
-
7613 (KS)
Practice Information
- Address
-
1423 E ROOSEVELT AVEGRANTS, NM, 870202245Browse NM providers · Browse ZIP 87020
- Phone
- 5052876500
- Fax
- 5052875393
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRANTS, NM
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA MAGDALENA ROCHA | M.D. | 1548260052 |
| DONNA DEMING | MD | 1528075900 |
| ARNOLD W VALDIVIA | M.D. | 1467561118 |
| MR. JANICE ANNE SHIPLEY | MD | 1871699769 |
| MR. JONATHAN R KEVAN | MD | 1760534861 |
| DR. ANN EDMUNDS HEATH | MD | 1174730154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.