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Organization

ANASAZI MEDICAL ASSOCAITES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICK E AMMONS PA-C (PHYSICIAN ASSISTANT)
(505) 473-0390
Entity
Organization

Contact information

Practice address
2055 S PACHECO ST, SUITE 600, SANTA FE, NM 87505-3997
(505) 473-0390
(505) 473-0375
Mailing address
2055 S PACHECO ST, SUITE 600, SANTA FE, NM 87505-3997
(505) 473-0390
(505) 473-0375

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2008-0043
NM

Other

Enumeration date
09/26/2008
Last updated
09/26/2008
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