Individual
NANCY DEIHL CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-6228
(505) 327-4887
Mailing address
PO BOX 2019, FARMINGTON, NM 87499-2019
(505) 325-1572
(505) 327-4887
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
17816
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD2020-1190
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121274
—
MS
05
—
1361453
—
LA
Enumeration date
07/10/2006
Last updated
11/20/2024
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