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Organization
SANTA FE MEDICAL GROUP, LLC
Active
Organization
SANTA FE MEDICAL GROUP, LLC
Active
Other names
Santa Fe Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA M KAPLAN (CREDENTIALING SPECIALIST)
(505) 944-9414
Entity
Organization
Contact information
Practice address
2801 RODEO RD, SUITE B-13, SANTA FE, NM 87507-6503
(505) 474-0120
(505) 474-4693
Mailing address
3600 RODEO LN, SUITE A-1, SANTA FE, NM 87507-6400
(505) 474-6097
(505) 471-4503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13-00054443
NM
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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