Organization
TRADITIONAL AMERICAN OSTEOPATHY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ANN ROBAK DO (PHYSICIAN/OWNER)
(414) 614-5758
Entity
Organization
Contact information
Practice address
505 CAMINO DE LOS MARQUEZ, SANTA FE, NM 87505-1837
(505) 405-8423
(505) 485-0641
Mailing address
3201 ZAFARANO DR STE C, PMB 249, SANTA FE, NM 87507
(505) 405-8423
(505) 485-0641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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