| |
465 Saint Michaels Dr Suite 212 Santa Fe NM 87505-7670 | |
(505) 820-5971 | |
(505) 820-5645 |
Full Name | |
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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 |
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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 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
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1740471036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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