Basic Information
| Provider Information | |||||||||
| NPI: | 1144218132 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STEINBERG | ||||||||
| FirstName: | KRISTINA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1710 1ST ST | ||||||||
| Address2: | |||||||||
| City: | ALAMOSA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 811012302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195893658 | ||||||||
| FaxNumber: | 7195890997 | ||||||||
| Practice Location | |||||||||
| Address1: | 1710 1ST ST | ||||||||
| Address2: | |||||||||
| City: | ALAMOSA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 811012302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195893658 | ||||||||
| FaxNumber: | 7195890997 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2005 | ||||||||
| LastUpdateDate: | 03/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25598 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 186095800 | 01 | US DEPARTMENT OF LABOR | OTHER | 01255983 | 05 | CO | MEDICAID | 080036223 | 01 | TRAVELERS MEDICARE | OTHER | 840706945017 | 01 | CO | ROCKY MOUNTAIN HEALTH PLA | OTHER | STH1018 | 01 | CO | ANTHEM BCBS | OTHER | X2884 | 01 | NEW MEXICO MEDICAID | OTHER |