Organization
SHIPROCK CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI R MCALEXANDER (OFFICE MANAGER)
(505) 368-2560
Entity
Organization
Contact information
Practice address
1 MI E SAN JUAN RIVER BRIDGE US HWY 64, SHIPROCK, NM 87420
(505) 368-2560
(505) 368-2561
Mailing address
PO BOX 2662, FARMINGTON, NM 87499-2662
(505) 368-2560
(505) 368-2561
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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