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1301 8th St Las Vegas NM 87701-4221 | |
(505) 425-2850 | |
(505) 425-2847 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1301 8th St, Las Vegas, New Mexico |
Authorized Official Name and Position | Nancy Kanode (OFFICER) |
Authorized Official Contact | 5054252850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1301 8th St Las Vegas NM 87701-4221 Ph: (505) 425-2850 | 1301 8th St Las Vegas NM 87701-4221 Ph: (505) 425-2850 |
NPI Number | 1245429216 |
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Provider Enumeration Date | 10/16/2007 |
Last Update Date | 11/26/2007 |
Identifier | Type | State | Issuer |
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1245429216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 2000216 (New Mexico) | Primary |
Las Vegas Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 7th St, Las Vegas, NM 87701 Phone: 505-425-6731 Fax: 505-454-1185 | |
San Miguel Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Legion Dr Ste A, Las Vegas, NM 87701 Phone: 505-454-9499 | |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 New Mexico Ave, Las Vegas, NM 87701 Phone: 505-426-2599 Fax: 877-553-1272 | |