Organization
NNM GASTROENTEROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MENDIOLA (ADMINISTRATIVE ASST)
(505) 983-5631
Entity
Organization
Contact information
Practice address
1691 GALISTEO ST, SUITE C, SANTA FE, NM 87505-4780
(505) 983-5631
(505) 982-5605
Mailing address
1691 GALISTEO ST, SUITE C, SANTA FE, NM 87505-4780
(505) 983-5631
(505) 982-5605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
10/20/2010
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