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Organization

DEPARTMENT OF HEALTH, PUBLIC HEALTH DIVISION

Active
Parent organization
STATE OF NEW MEXICO
Other names
NM Department of Health Public Health Office
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEW MEXICO
Authorized official
CHRISTOPHER PHILIP NOVAK (PROGRAMMATIC PHYSICIAN MANAGER)
(505) 476-2670
Entity
Organization

Contact information

Practice address
1190 S SAINT FRANCIS DR, SANTA FE, NM 87505-4173
(505) 827-2291
Mailing address
1190 S SAINT FRANCIS DR STE 1050, SANTA FE, NM 87505-4173
(505) 827-2291

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
01/31/2024
Last updated
02/12/2026
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