Organization
ADDARI FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ADDARI (OWNER)
(505) 647-8366
Entity
Organization
Contact information
Practice address
2465 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(505) 532-6061
(505) 532-6063
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2006-0554
NM
Other
Enumeration date
09/20/2006
Last updated
07/03/2008
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