| Farmington Internal Medicine, P.c. | |
|
657a W Maple St Farmington NM 87401-5967 | |
| (505) 325-5025 | |
| (505) 325-0689 |
| Full Name | Farmington Internal Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 657a W Maple St, Farmington, New Mexico |
| Authorized Official Name and Position | Eleanore Barry-prather (OWNER) |
| Authorized Official Contact | 5053255025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Internal Medicine, P.c. 657a W Maple St Farmington NM 87401-5967 Ph: (505) 325-5025 | Farmington Internal Medicine, P.c. 657a W Maple St Farmington NM 87401-5967 Ph: (505) 325-5025 |
| NPI Number | 1932123288 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932123288 | NPI | - | NPPES |
| 06452-6R#Z6215 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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