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Individual

MR. E DOW SUHRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
465 SAINT MICHAELS DR, SUITE 211, SANTA FE, NM 87505-7670
(505) 984-2600
(505) 983-7299
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 820-5227

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47652
NM
207R00000X
Internal Medicine Physician
7496
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
47652
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
7496
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01131
NM
01
16004
MOLINA
01
7496
NEW MEXICO LICENSE
NM
01
NM002A16
BCBS NM
NM
Enumeration date
01/12/2007
Last updated
03/07/2023
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