Organization
FARMINGTON INTERNAL MEDICINE, P.C.
Active
Other names
Cumberworth/Barry Prather MD's
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANORE BARRY-PRATHER MD (OWNER)
(505) 325-5025
Entity
Organization
Contact information
Practice address
657A W MAPLE ST, FARMINGTON, NM 87401-5967
(505) 325-5025
(505) 325-0689
Mailing address
657A W MAPLE ST, FARMINGTON, NM 87401-5967
(505) 325-5025
(505) 325-0689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06452-6R#Z6215
—
NM
Enumeration date
07/27/2006
Last updated
10/11/2013
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