Individual
DR. JOAN E KANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
90 MEDICINE WAY, DULCE, NM 87528
(505) 360-5995
Mailing address
PO BOX 649, DULCE, NM 87528-0649
(505) 360-5995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3986
AZ
207Q00000X
Family Medicine Physician
Primary
A-2282-19
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764846
—
AZ
Enumeration date
06/13/2006
Last updated
10/31/2019
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