Provider Demographics
NPI:1902807746
Name:TOLBER, STEVEN G (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:TOLBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2509 VIRGINIA ST NE
Mailing Address - Street 2:STE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4695
Mailing Address - Country:US
Mailing Address - Phone:505-237-2574
Mailing Address - Fax:505-237-3632
Practice Address - Street 1:2509 VIRGINIA ST NE
Practice Address - Street 2:STE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4695
Practice Address - Country:US
Practice Address - Phone:505-237-2574
Practice Address - Fax:505-237-3632
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2016-07-01
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Provider Licenses
StateLicense IDTaxonomies
NM74-101207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMC98181Medicare UPIN