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Individual

NANCY JEAN STARR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2559 MEDICAL DR, STE A, ALAMOGORDO, NM 88310
(505) 434-1500
(505) 434-1680
Mailing address
2559 MEDICAL DR, STE A, ALAMOGORDO, NM 88310
(505) 434-1500
(505) 434-1680

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
75254
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26724
NM
01
88310A002
TRICARE
NM
01
NM012682
BCBS
NM
Enumeration date
05/24/2006
Last updated
07/08/2007
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