Organization
ORTHOPEDIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KAY COMPTON (BILLING MANAGER)
(505) 327-1400
Entity
Organization
Contact information
Practice address
2300 E 30TH ST STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Mailing address
2300 E 30TH ST BLDG D, STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 564-3202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM005061
BCBS
—
05
—
47522
—
NM
Enumeration date
02/21/2006
Last updated
12/05/2024
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