Individual
DANIEL AGEE COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 988-9821
Mailing address
1625 WILDERNESS GATE RD, SANTA FE, NM 87505-5919
(505) 982-4420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2005-0503
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67151337
—
NM
Enumeration date
01/17/2006
Last updated
09/13/2011
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