Organization
DANIEL JUNCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEE JUNCK MD (PHYSICIAN, OWNER)
(505) 670-6549
Entity
Organization
Contact information
Practice address
223 N GUADALUPE ST, SUITE 466, SANTA FE, NM 87501-1868
(505) 670-6549
(505) 830-4803
Mailing address
223 N GUADALUPE ST, SUITE 466, SANTA FE, NM 87501-1868
(505) 670-6549
(505) 830-4803
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2005-0474
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46257268
—
NM
Enumeration date
06/14/2007
Last updated
12/29/2011
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