Organization
ISIS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA ANNON (ADMINISTRTIVE ASSISTANT)
(505) 983-8387
Entity
Organization
Contact information
Practice address
401 BOTULPH LN, SANTA FE, NM 87505-6912
(505) 983-8387
Mailing address
401 BOTULPH LN, SANTA FE, NM 87505-6912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2005-0046
NM
Other
Enumeration date
03/14/2006
Last updated
08/22/2020
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