Organization · Type 2 NPI
Rutledge Skin Care Clinic, PA
Primary Care Clinic/Center · Aztec, NM
NPI number
1285741652
Active
Practice location
4 Road 3641
Aztec, NM 87410-9562
Fax (505) 564-8303
Mailing address
4801 N Butler Ave, Suite 13101
Farmington, NM 87401-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 95-338 (NM) |
Primary Care Clinic/Center: Definition to come...
About NPI 1285741652
Rutledge Skin Care Clinic, PA's National Provider Identifier is 1285741652, issued on Aug 23, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Aztec, NM. The record was last updated on Jul 10, 2020.