Individual
JUDITH THIERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
EXIT 102 OFF I-40 1/2 MI SOUTH, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-5473
Mailing address
PO BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5385
(505) 552-5473
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101008729
MI
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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