Organization
NORTHERN NM GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN R CONNER PA-C (PA-C)
(505) 983-5631
Entity
Organization
Contact information
Practice address
1691 GALISTEO ST, SUITE C, SANTA FE, NM 87505-4780
(505) 983-5631
(505) 982-5605
Mailing address
1691 GALISTEO ST, SUITE C, SANTA FE, NM 87505-4780
(505) 983-5631
(505) 982-5605
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
PA2014-0057
NM
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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