Individual
MR. JERALD JOSEPH LITTLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 CALLE DE LA VUELTA, E-104, SANTA FE, NM 87505-4819
(505) 982-8831
(505) 983-2763
Mailing address
2100 CALLE DE LA VUELTA, E-104, SANTA FE, NM 87505-4819
(505) 982-8831
(505) 983-2763
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101026463
VA
207W00000X
Ophthalmology Physician
Primary
NM92284
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E5705
—
NM
Enumeration date
04/27/2006
Last updated
11/03/2016
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