Desert Bluffs Medical Pc | |
2700 Farmington Ave Suite G Farmington NM 87401-4559 | |
(505) 324-0092 | |
(505) 324-2259 |
Full Name | Desert Bluffs Medical Pc |
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Speciality | Internal Medicine |
Location | 2700 Farmington Ave, Farmington, New Mexico |
Authorized Official Name and Position | Alden Dykstra (OWNER) |
Authorized Official Contact | 5053240092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Desert Bluffs Medical Pc Po Box 6210 Farmington NM 87499-6210 Ph: (505) 324-2258 | Desert Bluffs Medical Pc 2700 Farmington Ave Suite G Farmington NM 87401-4559 Ph: (505) 324-0092 |
NPI Number | 1548293301 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 10/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548293301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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