Organization
EMERY FAMILY & WELLNESS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EMERY D.O. (OWNER)
(505) 918-0029
Entity
Organization
Contact information
Practice address
1400 BARBARA LOOP SE, RIO RANCHO, NM 87124-1088
(505) 918-0029
Mailing address
2009 CLEARWATER LOOP NE, RIO RANCHO, NM 87144-5553
(505) 918-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A112699
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z9435
—
NM
Enumeration date
02/15/2010
Last updated
02/15/2010
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