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Organization
ZIA PRIMARY CARE, LLC
Active
Organization
ZIA PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY AUTREY (CREDENTIALING)
(505) 249-1369
Entity
Organization
Contact information
Practice address
104 QUAIL TRL STE B, EDGEWOOD, NM 87015-7197
(505) 926-9800
Mailing address
104 QUAIL TRL STE B, EDGEWOOD, NM 87015-7197
(505) 926-9800
(505) 926-9722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/30/2022
Last updated
01/28/2023
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