Individual
DR. LYLE B AMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2212 BROTHERS RD, SANTA FE, NM 87505-6903
(505) 983-9460
(505) 983-0568
Mailing address
2212 BROTHERS RD, SANTA FE, NM 87505-6903
(505) 983-9460
(505) 983-0568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NM87202
NM
207RR0500X
Rheumatology Physician
Primary
NM87202
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14944
—
NM
01
—
201000218
PHP
NM
01
—
NM020199
BCBS
NM
01
—
PROVP11158
MOLINA SALUD
NM
Enumeration date
01/12/2007
Last updated
08/27/2009
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