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1714 Saint Michaels Dr #1 Santa Fe NM 87505-7617 | |
(505) 490-4042 | |
(877) 846-3680 |
Full Name | |
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Speciality | Family Medicine |
Location | 1714 Saint Michaels Dr, Santa Fe, New Mexico |
Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT CLINIC OPERATIONS) |
Authorized Official Contact | 5624996191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Oceangate Suite 100 Long Beach CA 90802-4302 Ph: (562) 499-6191 | 1714 Saint Michaels Dr #1 Santa Fe NM 87505-7617 Ph: (505) 490-4042 |
NPI Number | 1801177944 |
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Provider Enumeration Date | 09/02/2011 |
Last Update Date | 06/18/2013 |
Identifier | Type | State | Issuer |
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1801177944 | NPI | - | NPPES |
72035005 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |