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5 Petroglyph Cir Suite A Santa Fe NM 87506-1001 | |
(505) 455-1962 | |
(505) 455-2355 |
Full Name | |
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Speciality | Family Medicine |
Location | 5 Petroglyph Cir, Santa Fe, New Mexico |
Authorized Official Name and Position | J Alex Valdez (CEO PRESIDENT) |
Authorized Official Contact | 5059135202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5 Petroglyph Cir Suite A Santa Fe NM 87506-1001 Ph: (505) 455-1962 | 5 Petroglyph Cir Suite A Santa Fe NM 87506-1001 Ph: (505) 455-1962 |
NPI Number | 1235256447 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
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1235256447 | NPI | - | NPPES |
G9509 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |
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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 | |