Individual
BEN STRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 989-6130
(505) 820-5408
Mailing address
5410 MARYLAND WAY, SUITE, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20040053
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2245947
UHC
—
05
—
52552225
—
NM
01
—
NM002S05
BCBS NM
NM
01
—
QMP000003384307
MOLINA
—
Enumeration date
08/07/2006
Last updated
11/16/2007
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