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465 Saint Michaels Dr Suite 212 Santa Fe NM 87505-7670 | |
| (505) 820-5971 | |
| (505) 820-5645 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 465 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | J Alex Valdez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5058205202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
455 Saint Michaels Dr Medical Staff Office Santa Fe NM 87505-7601 Ph: (505) 820-5227 | 465 Saint Michaels Dr Suite 212 Santa Fe NM 87505-7670 Ph: (505) 820-5971 |
| NPI Number | 1740471036 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740471036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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