Organization
SANTA FE MEDICAL GROUP, LLC
Active
Other names
Santa Fe Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA M KAPLAN (CREDENTIALING SPECIALIST)
(505) 944-9414
Entity
Organization
Contact information
Practice address
2801 RODEO RD, SUITE B-13, SANTA FE, NM 87507-6503
(505) 474-0120
(505) 474-4693
Mailing address
3600 RODEO LN, SUITE A-1, SANTA FE, NM 87507-6400
(505) 474-6097
(505) 471-4503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13-00054443
NM
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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