Organization
SAGE FAMILY MEDICINE
Active
Parent organization
RELIANCE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANCE MEDICAL GROUP
Authorized official
SUE M BRATCHER RN (OFFICE/CLINICAL MGR)
(505) 566-1915
Entity
Organization
Contact information
Practice address
3751 N BUTLER AVE, FARMINGTON, NM 87401-6435
(505) 566-1915
(505) 566-1918
Mailing address
3451 N BUTLER AVE, FARMINGTON, NM 87401-2357
(505) 566-1915
(505) 566-1918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-109
NM
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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