| Santa Fe Family Practice Pc | |
|
2015 Galisteo St Santa Fe NM 87505-2101 | |
| (505) 989-9144 | |
| (505) 989-1550 |
| Full Name | Santa Fe Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2015 Galisteo St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Christopher Richard Fletcher (PRESIDENT) |
| Authorized Official Contact | 5059899144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Family Practice Pc 2015 Galisteo St Santa Fe NM 87505-2101 Ph: (505) 989-9144 | Santa Fe Family Practice Pc 2015 Galisteo St Santa Fe NM 87505-2101 Ph: (505) 989-9144 |
| NPI Number | 1437326402 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 11/13/2008 |
| Medicare PECOS PAC ID | 7113087610 |
|---|---|
| Medicare Enrollment ID | O20081113000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437326402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 81-45 (New Mexico) | Primary |
| Provider Name | Martha V Ludwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548247513 PECOS PAC ID: 8123049335 Enrollment ID: I20060104000887 |
| Provider Name | Christopher R Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497761910 PECOS PAC ID: 5496815946 Enrollment ID: I20081113000726 |
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