Organization
FEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN FEDKO (OWNER)
(857) 571-2467
Entity
Organization
Contact information
Practice address
1016 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-4446
Mailing address
7725 W RENO AVE, OKLAHOMA CITY, OK 73127-9711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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