Organization
DAVID CALKINS, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CALKINS M.D. (OWNER)
(440) 544-4077
Entity
Organization
Contact information
Practice address
117 CAMINO DE VIDA STE 300, SANTA ROSA, NM 88435-2267
(440) 544-4077
Mailing address
1405 SOPLO RD SE, ALBUQUERQUE, NM 87123-4422
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD2011-0247
NM
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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