Individual
DR. HOLLY ABERNETHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 E 30TH ST, BLDG C-2, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Mailing address
2300 E 30TH ST, BLDG C-2, FARMINGTON, NM 87401-8990
(505) 324-1000
(505) 324-1199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-0481
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80488277
—
NM
01
—
P00796812
RAILROAD RETIREMENT PTAN
NM
Enumeration date
06/08/2006
Last updated
09/20/2010
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