| Santa Fe Soul | |
|
2905 Rodeo Park Dr E Bldg 3 Santa Fe NM 87505-6313 | |
| (505) 986-1089 | |
| (505) 986-0194 |
| Full Name | Santa Fe Soul |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2905 Rodeo Park Dr E Bldg 3, Santa Fe, New Mexico |
| Authorized Official Name and Position | Robyn Benson (OWNER) |
| Authorized Official Contact | 5059861089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Soul 2905 Rodeo Park Dr E Bldg 3 Santa Fe NM 87505-6313 Ph: (505) 986-1089 | Santa Fe Soul 2905 Rodeo Park Dr E Bldg 3 Santa Fe NM 87505-6313 Ph: (505) 986-1089 |
| NPI Number | 1952889891 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952889891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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