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Organization

ANGELICA CAGLIA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA MARIE FERRALES (CREDENTIALING)
(505) 647-8366
Entity
Organization

Contact information

Practice address
1180 MALL DR, STE. C, LAS CRUCES, NM 88011-8101
(505) 532-5500
(505) 532-1128
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90-15
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00002527
NM
Enumeration date
05/21/2007
Last updated
10/27/2007
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