Individual
DORTHEA DEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9607 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-2523
(505) 259-4761
Mailing address
9607 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-2523
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
68-83
NM
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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