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435 Saint Michaels Dr Suite B-104 Santa Fe NM 87505-7672 | |
(123) 456-7890 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 435 Saint Michaels Dr, Santa Fe, New Mexico |
Authorized Official Name and Position | Joseph Alex Valdez (CEO/PRESIDENT) |
Authorized Official Contact | 5059135201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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435 Saint Michaels Dr Suite B-104 Santa Fe NM 87505-7672 Ph: () - | 435 Saint Michaels Dr Suite B-104 Santa Fe NM 87505-7672 Ph: (123) 456-7890 |
NPI Number | 1457618852 |
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Provider Enumeration Date | 04/23/2012 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
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1457618852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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