Organization
DESERT BLUFFS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDEN DYKSTRA M.D. (OWNER)
(505) 324-0092
Entity
Organization
Contact information
Practice address
2700 FARMINGTON AVE, SUITE G, FARMINGTON, NM 87401-4559
(505) 324-0092
(505) 324-2259
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 324-2258
(505) 324-2259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
10/10/2007
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