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Organization
CITY DIFFERENT PRIMARY CARE, LLC
Active
Organization
CITY DIFFERENT PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BLAKEBURN MD (OWNER)
(580) 445-0773
Entity
Organization
Contact information
Practice address
2085 S PACHECO ST, SANTA FE, NM 87505-6103
(505) 395-3000
Mailing address
2085 S PACHECO ST, SANTA FE, NM 87505-6103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/31/2025
Last updated
01/09/2026
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