Organization
NEW MEXICO CANCER CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE A MCDONALD (PRACTICE ADMINISTRATOR)
(505) 913-8951
Entity
Organization
Contact information
Practice address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Mailing address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG8268
RAILROAD MEDICARE GROUP
—
05
—
L1216
—
NM
Enumeration date
07/04/2006
Last updated
09/24/2013
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