Organization · Type 2 NPI
Proactive MD Nm, LLC
Primary Care Clinic/Center · Santa Fe, NM
NPI number
1407500309
Active
Practice location
1100 S Saint Francis Dr Ste 1000
Santa Fe, NM 87505-4147
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1407500309
Proactive MD Nm, LLC's National Provider Identifier is 1407500309, issued on Feb 9, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Santa Fe, NM. The record was last updated on Aug 31, 2026.