Organization · Type 2 NPI
James D. Mickle, Jr. MD
Medical Specialty Clinic/Center · Santa Fe, NM
Practice location
4 Calle Medico, C
Santa Fe, NM 87505-4791
Fax (610) 369-2710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | MD2008-0397 (NM) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1477855104
James D. Mickle, Jr. MD's National Provider Identifier is 1477855104, issued on Dec 1, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Santa Fe, NM. The record was last updated on Dec 1, 2010.