Organization · Type 2 NPI

Roberta L. Fennig Do PC

Clinic/Center · Santa Teresa, NM

NPI number 1912259441 Active

Practice location

5305 Mcnutt Rd, Suite H
Santa Teresa, NM 88008-9685

Call (575) 589-1770 Map

Fax (575) 589-1799

Mailing address

PO Box 4
Santa Teresa, NM 88008-0004

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XA167712 (NM)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

20 other providers at this address

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About NPI 1912259441

Roberta L. Fennig Do PC's National Provider Identifier is 1912259441, issued on Oct 8, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Santa Teresa, NM. The record was last updated on Oct 8, 2012.