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Individual

DR. TIM GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6349 HIGHWAY 550, CUBA, NM 87013
(505) 289-3291
(505) 289-9101
Mailing address
7406 CORRALES RD, CORRALES, NM 87048-9020
(505) 792-0170
(505) 289-9101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93264
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
K4598
NM
Enumeration date
08/04/2006
Last updated
07/08/2007
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