Individual
PATRICK SAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 101, SANTA FE, NM 87505-7670
(505) 995-2400
Mailing address
1414 LUISA ST, SANTA FE, NM 87505-4347
(505) 930-5040
(505) 930-5041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2007-0786
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46682040
NEW MEXICO MEDICAID
—
05
—
59577754
—
CO
01
—
840706945159
ROCKY MOUNTAIN HEALH PLAN
CO
01
—
P00082076
TRAVELERS MEDICARE
—
01
—
SA666518
ANTHEM BCBS
CO
Enumeration date
10/12/2005
Last updated
07/06/2020
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