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4001 Rodeo Rd Santa Fe NM 87507-4830 | |
(505) 471-8994 | |
(505) 473-1274 |
Full Name | |
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Speciality | Family Medicine |
Location | 4001 Rodeo Rd, Santa Fe, New Mexico |
Authorized Official Name and Position | J Alex Valdez (CEO PRESIDENT) |
Authorized Official Contact | 5058205227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4001 Rodeo Rd Santa Fe NM 87507-4830 Ph: (505) 417-8994 | 4001 Rodeo Rd Santa Fe NM 87507-4830 Ph: (505) 471-8994 |
NPI Number | 1518084128 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
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1518084128 | NPI | - | NPPES |
60383054 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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