Organization
NEW MEXICO EM-I MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A HANSEL (OFFICE MANAGER)
(505) 662-9256
Entity
Organization
Contact information
Practice address
3917 WEST RD STE 231, LOS ALAMOS, NM 87544-2275
(506) 662-9256
Mailing address
3917 WEST RD STE 231, LOS ALAMOS, NM 87544-2275
(506) 662-9256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20050031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F9713
—
NM
Enumeration date
06/17/2007
Last updated
08/22/2020
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