Individual
DR. DATHAN TSOSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 MEDICINE HORSE DRIVE, TO'HAJIILEE, NM 87026
(505) 908-2571
(505) 908-2310
Mailing address
PO BOX 3338, CANONCITO, NM 87026-3338
(505) 908-2571
(505) 908-2310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2022-1471
NM
Other
Enumeration date
03/28/2020
Last updated
07/14/2023
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