Organization
ADOBE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOHN WALANTAS NP (MANAGING MEMBER)
(210) 863-0405
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE J1, SANTA FE, NM 87505-2103
(210) 863-0405
Mailing address
2019 GALISTEO ST STE J1, SANTA FE, NM 87505-2103
(210) 863-0405
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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