Organization
DIANE E FRIEDMAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE ELIZABETH FRIEDMAN M.D. (OWNER)
(505) 988-1930
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST, SUITE N9A, SANTA FE, NM 87505-2143
(505) 988-1930
(505) 982-9931
Mailing address
2019 GALISTEO ST, SUITE N9A, SANTA FE, NM 87505-2143
(505) 988-1930
(505) 982-9931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-200
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54700833
—
NM
Enumeration date
07/05/2006
Last updated
03/19/2013
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