Organization
SAGE FAMILY HEALTH CENTER LTD CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA K HIGGINBOTHAM M.D. (MEDICAL DIRECTOR)
(505) 984-1300
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST, G-3, SANTA FE, NM 87505-2143
(505) 984-1300
(505) 986-6447
Mailing address
2019 GALISTEO ST, G-3, SANTA FE, NM 87505-2143
(505) 984-1300
(505) 986-6447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM011A14
BCBS
NM
Enumeration date
10/29/2007
Last updated
10/29/2007
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