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Organization
EAST TAO CORPORATION
Active
Organization
EAST TAO CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEZHUANG ZHAO D.O.M. (PRESIDENT)
(505) 438-7178
Entity
Organization
Contact information
Practice address
2801 RODEO RD, SUITE F, SANTA FE, NM 87507-6503
(505) 438-7178
(505) 438-1056
Mailing address
2801 RODEO RD, SUITE F, SANTA FE, NM 87507-6503
(505) 438-7178
(505) 438-1056
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0662625
NM
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD2005-0461
NM
Other
Enumeration date
08/27/2006
Last updated
09/11/2025
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