| William Wengs, Md | |
|
2009 Botulph Rd Suite 500 Santa Fe NM 87505-1107 | |
| (505) 986-2890 | |
| (505) 986-2893 |
| Full Name | William Wengs, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 2009 Botulph Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | William J Wengs (PRESIDENT/OWNER) |
| Authorized Official Contact | 5059862890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Wengs, Md 2009 Botulph Rd Suite 500 Santa Fe NM 87505-1107 Ph: (505) 986-2890 | William Wengs, Md 2009 Botulph Rd Suite 500 Santa Fe NM 87505-1107 Ph: (505) 986-2890 |
| NPI Number | 1023290160 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023290160 | NPI | - | NPPES |
| T9528 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 98414 (New Mexico) | Primary |
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