| New Mexico | |
|
150 Washington Ave Ste 201-220 Santa Fe NM 87501-2073 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | New Mexico |
|---|---|
| Speciality | General Practice |
| Location | 150 Washington Ave Ste 201-220, Santa Fe, New Mexico |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6574005180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | New Mexico 150 Washington Ave Ste 201-220 Santa Fe NM 87501-2073 Ph: (657) 400-5180 |
| NPI Number | 1720703291 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720703291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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