Organization
PINON FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADANA MOHLER (CLINIC MANAGER)
(505) 324-1000
Entity
Organization
Contact information
Practice address
2300 E 30TH ST, BLDG C-2, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Mailing address
2300 E 30TH ST, BLDG C-2, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32D0943693
CLIA NUMBER
—
01
—
CG6367
RAILROAD RETIRE CLINIC ID
—
05
—
Z7265
—
NM
Enumeration date
08/18/2006
Last updated
06/26/2023
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