Organization
JAMES E. SALTZ, JR. M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWIN SALTZ M.D. (ADMINISTRATOR/OWNER)
(505) 461-2222
Entity
Organization
Contact information
Practice address
325 S 1ST ST, TUCUMCARI, NM 88401-2707
(505) 461-2222
(505) 461-2255
Mailing address
PO BOX 628, TUCUMCARI, NM 88401-0628
(505) 461-2222
(505) 461-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68-163
NM
363LF0000X
Family Nurse Practitioner
R22638
NM
363LF0000X
Family Nurse Practitioner
R63323
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24117
—
NM
Enumeration date
08/23/2006
Last updated
01/22/2010
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