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Individual

CHRISTIAN H FELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8883
Mailing address
PO BOX 2831, RANCHOS DE TAOS, NM 87557-2831
(505) 360-9820

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R65606
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457517922
UT
05
365257
AZ
05
39581888
CO
05
53201051
NM
01
P00859970
RR MEDICARE
NM
Enumeration date
08/04/2008
Last updated
11/11/2020
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