Individual
DR. ROBERT L NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 COUNTRY CLUB ROAD, SANTA TERESA, NM 88008
(505) 589-4000
(505) 589-7225
Mailing address
PO BOX 1558, SANTA TERESA, NM 88008
(505) 589-4000
(505) 589-7225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-344
NM
208D00000X
General Practice Physician
Primary
94-344
NM
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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