Individual
SAMUEL CARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(575) 257-8200
(505) 272-6503
Mailing address
PO BOX 26666, PRESBYTERIAN HEALTHCARE SERVICEQQ, ALBUQUERQUE, NM 87125-6666
(505) 272-5062
(505) 272-6503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2022-0318
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/06/2019
Last updated
03/17/2023
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