Organization · Type 2 NPI
Angel Fire Primary Care
General Practice Physician · Red River, NM
NPI number
1053672485
Active
Practice location
200 A Pioneer Road
Red River, NM 87558-0000
Fax (505) 989-3536
Mailing address
707 Paseo De Peralta
Santa Fe, NM 87501-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1053672485
Angel Fire Primary Care's National Provider Identifier is 1053672485, issued on Jun 1, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Red River, NM. The record was last updated on Jun 1, 2012.