Individual
DR. THOMAS W KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 BRUNN SCHOOL RD, BLDG C, SANTA FE, NM 87505-1102
(505) 984-1141
Mailing address
404 BRUNN SCHOOL RD, BLDG C, SANTA FE, NM 87505-1102
(505) 984-1141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
83-63
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19307
—
NM
Enumeration date
09/06/2006
Last updated
05/06/2008
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