Individual
EDWARD KOMPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 S SCHWARTZ AVE, SUITE 201, FARMINGTON, NM 87401-5954
(505) 609-6730
(505) 609-6749
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
90-228
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00029215
—
NM
Enumeration date
05/23/2006
Last updated
08/05/2010
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