Individual
ANGELA M MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
47017
CO
207P00000X
Emergency Medicine Physician
Primary
MD2010-0046
NM
Other
Enumeration date
05/03/2007
Last updated
11/12/2024
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