Organization
NORTHERN NM MEDICAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STANLEY CASKEY MD (MEDICAL PROVIDER/OWNER)
(505) 982-8338
Entity
Organization
Contact information
Practice address
1421 LUISA STREET, SUITE B, SANTA FE, NM 87505-4073
(505) 982-8338
(505) 982-8393
Mailing address
1421 LUISA STREET, SUITE 1, SANTA FE, NM 87505-4073
(505) 982-8338
(505) 982-8393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2006-0456
NM
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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