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Organization
SAGE FAMILY MEDICINE
Active
Organization
SAGE FAMILY MEDICINE
Active
Parent organization
RELIANCE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANCE MEDICAL GROUP
Authorized official
SUE M BRATCHER RN (OFFICE/CLINICAL MGR)
(505) 566-1915
Entity
Organization
Contact information
Practice address
3751 N BUTLER AVE, FARMINGTON, NM 87401-6435
(505) 566-1915
(505) 566-1918
Mailing address
3451 N BUTLER AVE, FARMINGTON, NM 87401-2357
(505) 566-1915
(505) 566-1918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-109
NM
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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