Organization
FAMILY PRACTICE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED M KULLMAN M.D. (PHYSICIAN)
(505) 988-1232
Entity
Organization
Contact information
Practice address
433 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 988-1232
(505) 984-1603
Mailing address
433 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 988-1232
(505) 984-1603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
78-202
NM
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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