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Organization
SANDIA MEDICAL GROUP
Active
Organization
SANDIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN WHITE (OWNER & MEDICAL DIRECTOR)
(505) 463-2691
Entity
Organization
Contact information
Practice address
4700 JEFFERSON ST NE STE 700&800, ALBUQUERQUE, NM 87109-2136
(505) 437-5085
Mailing address
4700 JEFFERSON ST NE STE 700&800, ALBUQUERQUE, NM 87109-2136
(505) 437-5085
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/06/2025
Last updated
08/18/2026
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