Rutledge Skin Care Clinic, Pa | |
4 Road 3641 Aztec NM 87410-9562 | |
(505) 564-8300 | |
(505) 564-8303 |
Full Name | Rutledge Skin Care Clinic, Pa |
---|---|
Speciality | Clinic/Center |
Location | 4 Road 3641, Aztec, New Mexico |
Authorized Official Name and Position | Michael Joseph Rutledge (OWNER) |
Authorized Official Contact | 5055648300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rutledge Skin Care Clinic, Pa 4801 N Butler Ave Suite 13101 Farmington NM 87401-6002 Ph: (505) 564-8300 | Rutledge Skin Care Clinic, Pa 4 Road 3641 Aztec NM 87410-9562 Ph: (505) 564-8300 |
NPI Number | 1285741652 |
---|---|
Provider Enumeration Date | 08/23/2006 |
Last Update Date | 07/10/2020 |
Medicare PECOS PAC ID | 6507051299 |
---|---|
Medicare Enrollment ID | O20101108000691 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285741652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 95-338 (New Mexico) | Primary |
Provider Name | Michael J Rutledge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568575314 PECOS PAC ID: 3072504810 Enrollment ID: I20040520001078 |
Tribalights Tt Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Road 2050, Aztec, NM 87410 Phone: 310-721-4398 | |
Sjrmc Aztec Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Llano St, Aztec, NM 87410 Phone: 505-334-3404 Fax: 505-334-3486 | |
William R Barkman Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Llano Street, Aztec, NM 87410 Phone: 505-334-9441 Fax: 505-334-8750 |