Individual provider · Type 1 NPI
Judith Thierry, DO
General Practice Physician · San Fidel, NM
NPI number
1881870426
Active
Practice location
Exit 102 Off I-40 1/2 Mi South
San Fidel, NM 87049-0130
Fax (505) 552-5473
Mailing address
PO Box 130
San Fidel, NM 87049-0130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 5101008729 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
About NPI 1881870426
Judith Thierry, DO's National Provider Identifier is 1881870426, issued on Jan 14, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Fidel, NM. The record was last updated on Jan 14, 2008.