Organization
ERIC GRASSER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GRASSER MD (OWNER)
(505) 453-3756
Entity
Organization
Contact information
Practice address
1925 ASPEN DR STE 502A, SANTA FE, NM 87505-5559
(505) 983-9878
(505) 629-1095
Mailing address
1925 ASPEN DR STE 502A, SANTA FE, NM 87505-5559
(505) 983-9878
(505) 629-1095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003-0151
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68576358
—
NM
01
—
NMAAA1077
MEDICARE PTAN
—
Enumeration date
06/02/2011
Last updated
01/26/2017
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