Individual
WANICHA BURAPHACHEEP-COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2040 S PACHECO ST, NM DOH FAMILY PLANNING PROGRAM, SANTA FE, NM 87505-5472
(505) 476-8870
(505) 476-8898
Mailing address
2040 S PACHECO ST, NM DOH FAMILY PLANNING PROGRAM, SANTA FE, NM 87505-5472
(505) 476-8870
(505) 476-8898
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
98-34
NM
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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