| Placitas Mountain Medical, Inc. | |
|
12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9499 | |
| (505) 281-5180 | |
| (505) 281-5320 |
| Full Name | Placitas Mountain Medical, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 12127b Hwy 14 N Ste 5, Cedar Crest, New Mexico |
| Authorized Official Name and Position | James Marc Beverly (OWNER) |
| Authorized Official Contact | 5052815180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Placitas Mountain Medical, Inc. 12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9499 Ph: (505) 281-5180 | Placitas Mountain Medical, Inc. 12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9499 Ph: (505) 281-5180 |
| NPI Number | 1811424674 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811424674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lisa Marie Stolarczyk Md Phd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Alicia Road, Cedar Crest, NM 87008 Phone: 505-270-6499 | |
Duke City Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008 Phone: 505-281-5180 Fax: 505-281-5320 | |
Duke City Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008 Phone: 505-281-5180 Fax: 505-281-5320 |