Organization
JERALD J. LITTLEFIELD, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD J. LITTLEFIELD (MEDICAL DOCTOR)
(505) 982-8831
Entity
Organization
Contact information
Practice address
2100 CALLE DE LA VUELTA STE E-104, SANTA FE, NM 87505-4742
(505) 982-8831
(505) 983-2763
Mailing address
2100 CALLE DE LA VUELTA STE E-104, SANTA FE, NM 87505-4742
(505) 982-8831
(505) 983-2763
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NM92284
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180043909
RR MEDICARE
—
Enumeration date
03/08/2007
Last updated
05/05/2010
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