Organization
LORETTA A CONDER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN MARTINEZ (ACCOUNTS RECEIVABLE)
(505) 445-4111
Entity
Organization
Contact information
Practice address
166 HOSPITAL DR, RATON, NM 87740-2002
(505) 445-4111
(505) 445-2666
Mailing address
166 HOSPITAL DR, RATON, NM 87740-2002
(505) 445-4111
(505) 445-2666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91291
NM
Other
Enumeration date
03/28/2007
Last updated
10/28/2013
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