Organization
MESA FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DEKAY MD (OWNER CEO)
(505) 325-2323
Entity
Organization
Contact information
Practice address
2130A FARMINGTON AVE, FARMINGTON, NM 87401
(505) 325-2323
(505) 325-7172
Mailing address
2130A FARMINGTON AVE, FARMINGTON, NM 87401
(505) 325-2323
(505) 325-7172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95222
NM
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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