Individual
MS. MARGARET ANNE CONOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
413 SIPAPU ROAD, BOX 6952, TAOS, NM 87571
(505) 758-5857
(505) 758-2832
Mailing address
POST OFFICE BOX 76, CIMARRON, NM 87714
(505) 376-2065
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5446
HI
2084P0800X
Psychiatry Physician
Primary
MD2006-0137
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21678251
—
NM
Enumeration date
06/14/2006
Last updated
07/08/2007
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