Individual
SANDRA ELAINE GRUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
923 9TH ST, SUITE A, ALAMOGORDO, NM 88310-6431
(575) 446-5900
(575) 443-5134
Mailing address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(575) 439-6100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99219
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A4826
—
NM
Enumeration date
08/31/2006
Last updated
09/24/2012
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