# MOUNTAIN AIR PULMONARY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184208571
- **Authorized official:** LARA GOITEIN MD (MD / CEO)
- **Authorized official phone:** (505) 660-3881

## Contact information

- **Practice address:** 761 CALLE PICACHO, SANTA FE, NM 87505-6607
- **Practice address phone:** (505) 660-3881
- **Mailing address:** 761 CALLE PICACHO, SANTA FE, NM 87505-6607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2021
- **Last updated:** 05/11/2021