Individual
DR. KAREN A ENDACOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 S PACHECO ST, SANTA FE, NM 87505-3997
(505) 473-0390
(505) 473-0375
Mailing address
PO BOX 26666, PRESBYTERIAN HEATLHCARE SERVICES, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420009815
VT
207R00000X
Internal Medicine Physician
23889
NE
207R00000X
Internal Medicine Physician
Primary
MD2012-0105
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125
—
VT
05
—
47083425413
—
NE
Enumeration date
03/17/2006
Last updated
01/07/2015
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