Organization
LA PLATA MEDICAL EXAMINERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON KALCICH DO (PRESIDENT)
(505) 556-1999
Entity
Organization
Contact information
Practice address
783 NEW MEXICO 170, FARMINGTON, NM 87401-8700
(505) 556-1999
(505) 675-2788
Mailing address
783 NEW MEXICO 170, FARMINGTON, NM 87401-8700
(505) 556-1999
(505) 675-2788
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/18/2024
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