Organization
BLUE SKIES PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRAOR M.D. (PRESIDENT)
(505) 546-4811
Entity
Organization
Contact information
Practice address
1110 W FLORIDA ST, DEMING, NM 88030-4908
(505) 546-4811
(505) 546-4821
Mailing address
1110 W FLORIDA ST, DEMING, NM 88030-4908
(505) 546-4811
(505) 546-4821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70974764
—
NM
Enumeration date
02/08/2007
Last updated
01/28/2010
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