Organization
MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN CAROLYN LINNEBUR M.D. (PRESIDENT)
(505) 661-8900
Entity
Organization
Contact information
Practice address
3917 WEST RD, SUITE A, LOS ALAMOS, NM 87544-2275
(505) 661-8900
(505) 661-8961
Mailing address
3917 WEST RD, SUITE A, LOS ALAMOS, NM 87544-2275
(505) 661-8900
(505) 661-8961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3807
—
NM
Enumeration date
10/10/2005
Last updated
12/06/2022
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