Individual
DR. MARGARET L CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 N LOCKE AVE, FARMINGTON, NM 87401-5855
(505) 324-1100
(505) 324-1117
Mailing address
304 N LOCKE AVE, FARMINGTON, NM 87401-5855
(505) 324-1100
(505) 324-1117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201011965
PRESBYTERIAN ID
NM
01
—
80146308
RAILROAD MEDICARE NUMBER
NM
01
—
NM002537
BC/BS PROVIDER ID
NM
01
—
NMAAA1342
MEDICARE PROVIDER NUMBER
NM
05
—
R7312
—
NM
Enumeration date
07/26/2006
Last updated
11/23/2024
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