Organization
FOUR CORNERS RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANYLE CONNER (OFFICE MANAGER)
(505) 325-1572
Entity
Organization
Contact information
Practice address
801 W. MAPLE, FARMINGTON, NM 87401
(505) 325-1572
Mailing address
PO BOX 2019, FARMINGTON, NM 87499-2019
(505) 325-1572
(505) 327-4887
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44016
—
NM
Enumeration date
06/14/2006
Last updated
06/22/2021
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