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Individual

DR. FEN SARTORIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994
(505) 473-1274
Mailing address
4001 RODEO RD, SANTA FE, NM 87507-4830
(505) 471-8994

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79-266
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10000283
LOVELACE
01
1700291
UHC
01
202014953
PRESBYTERIAN HEALTH PLAN
05
32821
NM
01
NM042528
BCBS NM
NM
01
QMYPR0071765
MOLINA
Enumeration date
08/31/2006
Last updated
09/27/2012
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