Organization
DERMATOLOGY PARTNERS OF NORTHERN NEW MEXICO
Active
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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