# DANIEL JUNCK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902000680
- **Authorized official:** DR. DANIEL LEE JUNCK MD (PHYSICIAN, OWNER)
- **Authorized official phone:** (505) 670-6549

## Contact information

- **Practice address:** 223 N GUADALUPE ST, SUITE 466, SANTA FE, NM 87501-1868
- **Practice address phone:** (505) 670-6549
- **Practice address fax:** (505) 830-4803
- **Mailing address:** 223 N GUADALUPE ST, SUITE 466, SANTA FE, NM 87501-1868
- **Mailing address phone:** (505) 670-6549
- **Mailing address fax:** (505) 830-4803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2005-0474 | NM | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 12/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 46257268 | — | NM |