Individual
LEAH MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 BOTULPH LN, SANTA FE, NM 87505-6912
(505) 983-8387
(505) 820-2733
Mailing address
401 BOTULPH LN, SANTA FE, NM 87505-6912
(505) 983-8387
(505) 820-2733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80-176
NM
208D00000X
General Practice Physician
80-176
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33597
—
NM
Enumeration date
11/14/2005
Last updated
04/24/2013
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