Organization
HEALTHNET MEDICAL FAMILY & INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL L GRIFFITH D.O. (PRESIDENT)
(575) 589-1552
Entity
Organization
Contact information
Practice address
1074 COUNTRY CLUB RD BLDG C, SUITE 1, SANTA TERESA, NM 88008-9757
(575) 589-1552
(575) 589-0888
Mailing address
1074 COUNTRY CLUB RD. BLDG C, SUITE 1, SANTA TERESA, NM 88008
(575) 589-1552
(575) 589-0888
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A129705
NM
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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