Organization
LOS ALAMOS PHYSICIANS PRACTICES LLC
Active
Other names
ESPANOLA FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WIECHART (CEO)
(615) 372-6508
Entity
Organization
Contact information
Practice address
1302 E CALLE MERCED, ESPANOLA, NM 87532
(505) 753-9292
Mailing address
3917 WEST RD, LOS ALAMOS, NM 87544-2275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79228313
—
NM
Enumeration date
04/10/2007
Last updated
09/11/2025
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