Individual
MICHELLE W CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3917 WEST RD, SUITE A, LOS ALAMOS, NM 87544-2275
(505) 661-8900
(505) 661-8987
Mailing address
3917 WEST RD, SUITE A, LOS ALAMOS, NM 87544-2275
(505) 661-8900
(505) 661-8987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159730401
—
TX
Enumeration date
05/10/2006
Last updated
10/04/2022
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