Organization
SAN JUAN MEDICAL GROUP PC
Active
Other names
FARMINGTON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSEPH BURNS M.D. (PRESIDENT)
(505) 327-4867
Entity
Organization
Contact information
Practice address
622 W MAPLE ST, SUITE B, FARMINGTON, NM 87401-6590
(505) 327-4867
(505) 327-5355
Mailing address
622 W MAPLE ST, SUITE B, FARMINGTON, NM 87401-6590
(505) 327-4867
(505) 327-5355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47359
NM
Other
Enumeration date
07/08/2006
Last updated
04/20/2008
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