Organization
DERMATOLOGY PARTNERS OF NORTHERN NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HEATH (OFFICE MANAGER)
(505) 983-0286
Entity
Organization
Contact information
Practice address
1651 GALISTEO ST STE 5, SANTA FE, NM 87505-4752
(505) 983-0286
(505) 983-0286
Mailing address
1651 GALISTEO ST. SUITE 5, SANTA FE, NM 87505
(505) 983-0286
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-381199-00-7
CRS
NM
Enumeration date
07/13/2017
Last updated
07/21/2022
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