| |
5501 Herrera Drive Santa Fe NM 87507-2677 | |
(505) 000-0000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 5501 Herrera Drive, Santa Fe, New Mexico |
Authorized Official Name and Position | Bruce Tassin (CEO) |
Authorized Official Contact | 5059135201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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440 Saint Michaels Dr Csv Medical Group Santa Fe NM 87505-7602 Ph: () - | 5501 Herrera Drive Santa Fe NM 87507-2677 Ph: (505) 000-0000 |
NPI Number | 1902202336 |
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Provider Enumeration Date | 11/12/2014 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
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1902202336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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