Sirpa T Autio, MD | |
500 N Mundo, Dulce, NM 87528-0187 | |
(575) 759-3291 | |
(575) 759-3532 |
Full Name | Sirpa T Autio |
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Gender | Female |
Speciality | Family Medicine |
Location | 500 N Mundo, Dulce, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134158405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME88275 (Florida) | Secondary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Entity Name | San Carlos Apache Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
Mailing Address | Practice Location Address |
---|---|
Sirpa T Autio, MD 21 Hospital Dr, Suite 120, Palm Coast, FL 32164-2452 Ph: (386) 586-4280 | Sirpa T Autio, MD 500 N Mundo, Dulce, NM 87528-0187 Ph: (575) 759-3291 |
Ms. Jennifer Lea Lea Claycomb, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532 | |
Dr. Joan E Kandel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Medicine Way, Dulce, NM 87528 Phone: 505-360-5995 | |
Steven John Petrakis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 | |
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 | |
Steven Paul Gross, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7232 Fax: 575-759-7294 | |
Dr. Raquel Irene Cisneros, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N. Mundo Dr., Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294 |