| San Juan Miners' Association | |
|
2012 San Juan Blvd # B Farmington NM 87401-2220 | |
| (505) 819-8501 | |
| Not Available |
| Full Name | San Juan Miners' Association |
|---|---|
| Speciality | Family Medicine |
| Location | 2012 San Juan Blvd # B, Farmington, New Mexico |
| Authorized Official Name and Position | Daniel Lorett (MEMBER) |
| Authorized Official Contact | 5058198501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Miners' Association 2012 San Juan Blvd # B Farmington NM 87401-2220 Ph: (505) 402-4067 | San Juan Miners' Association 2012 San Juan Blvd # B Farmington NM 87401-2220 Ph: (505) 819-8501 |
| NPI Number | 1386319887 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386319887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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