Individual
JOHN ALAN MACFARLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 PASEO DEL PUEBLO SUR STE 150, BOX 5436 NDCBU, TAOS, NM 87571-7002
(575) 758-3005
Mailing address
630 PASEO DEL PUEBLO SUR STE 150, BOX 5436 NDCBU, TAOS, NM 87571-7002
(575) 758-3005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AA1356
AK
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
AA1356
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA1356
STATE LICENSE
AK
Enumeration date
12/15/2006
Last updated
03/07/2023
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