in Santa Fe - Family Medicine

- NPI 1023129012

is a Family Medicine in Santa Fe, New Mexico. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1023129012. The last update date is .

's current location address is 4001 Rodeo Rd, Santa Fe, New Mexico. You can contact this provider via phone number 5054718994. The mailing address for is 4001 Rodeo Rd, Santa Fe, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 4001 Rodeo Rd, Santa Fe, New Mexico
Phone Number 5054718994
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1023129012
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 4001 Rodeo Rd
City Santa Fe
State New Mexico (NM)
Post Code 875074830
Phone Number 5054718994
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 79-266
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202014953 PRESBYTERIAN HEALTH PLAN
10000283 LOVELACE
32821 NM --
1700291 UHC
NM042528 NM BCBS NM
QMYPR0071765 MOLINA

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