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Organization
SAN JUAN MEDICAL GROUP PC
Active
Organization
SAN JUAN MEDICAL GROUP PC
Active
Other names
FARMINGTON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSEPH BURNS M.D. (PRESIDENT)
(505) 327-4867
Entity
Organization
Contact information
Practice address
622 W MAPLE ST, SUITE B, FARMINGTON, NM 87401-6590
(505) 327-4867
(505) 327-5355
Mailing address
622 W MAPLE ST, SUITE B, FARMINGTON, NM 87401-6590
(505) 327-4867
(505) 327-5355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47359
NM
Other
Enumeration date
07/08/2006
Last updated
04/20/2008
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