Organization
SANTA FE OSTEOPOROSIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVELINA BARDWELL MD (MEDICAL DIRECTOR)
(505) 983-4955
Entity
Organization
Contact information
Practice address
1925 ASPEN DR, SUITE 803A, SANTA FE, NM 87505-5459
(505) 983-4955
(505) 983-0491
Mailing address
1925 ASPEN DR, SUITE 803A, SANTA FE, NM 87505-5459
(505) 983-4955
(505) 983-0491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
82161
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z7534
—
NM
Enumeration date
11/27/2006
Last updated
07/16/2010
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