Organization
CHANDI BANKSTON, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDI BANKSTON D.O. (OWNER)
(505) 437-5716
Entity
Organization
Contact information
Practice address
1315 12TH ST, ALAMOGORDO, NM 88310-5810
(505) 437-5716
(505) 437-5733
Mailing address
1315 12TH ST, ALAMOGORDO, NM 88310-5810
(505) 437-5716
(505) 437-5733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-1146-00
NM
Other
Enumeration date
10/29/2007
Last updated
10/30/2007
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