Individual
DR. ELEANORE A BARRY-PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 E APACHE ST, FARMINGTON, NM 87401-6902
(505) 564-7903
Mailing address
110 E APACHE ST, FARMINGTON, NM 87401-6902
(505) 564-7903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
98218
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110731579
RRM CARE
—
01
—
NM004695
NM BS
—
Enumeration date
08/31/2006
Last updated
08/17/2020
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