| Mis Amigos De Salud | |
|
309 Red Sun Dr Chaparral NM 88081-7966 | |
| (505) 824-0383 | |
| (505) 824-0375 |
| Full Name | Mis Amigos De Salud |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 309 Red Sun Dr, Chaparral, New Mexico |
| Authorized Official Name and Position | Edward Rogers Kemp (OWNER/PROVIDER) |
| Authorized Official Contact | 5058240383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mis Amigos De Salud 309 Red Sun Dr Chaparral NM 88081-7966 Ph: (505) 824-0383 | Mis Amigos De Salud 309 Red Sun Dr Chaparral NM 88081-7966 Ph: (505) 824-0383 |
| NPI Number | 1881607679 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881607679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R40093 (New Mexico) | Primary |
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