Organization
SASTUN FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R DODGE PHARM.D. (OWNER/COO)
(505) 469-0516
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST, SUITE N9A, SANTA FE, NM 87505-2143
(505) 988-1930
(505) 982-9931
Mailing address
2019 GALISTEO ST, SUITE N9A, SANTA FE, NM 87505-2143
(505) 988-1930
(505) 982-9931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
07/17/2016
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