IndividualActive
Benjamin Stake, MD
NPI 1306930102 · Emergency Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1306930102
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 93160 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1115 Central Ave Ne
Pmg Emergency Medicine
Albuquerque, NM 87106-4927
Phone: (505) 841-1125
Fax: (505) 841-1737
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26666
Albuquerque, NM 87125-6666
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2008-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.