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Organization

FOUR CORNERS RADIOLOGY ASSOCIATES PC

Active
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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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