| Larry F Widmer Dc Llc | |
|
1892 Plaza Del Sur Dr Ste A, Santa Fe, NM 87505-6073 | |
| (505) 988-8017 | |
| (505) 988-8018 |
| Full Name | Larry F Widmer Dc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 1892 Plaza Del Sur Dr Ste A, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255723672 | NPI | - | NPPES |
| 035313F70 | Other | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 1406 (New Mexico) | Primary |
| Provider Name | Larry F Widmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225025463 PECOS PAC ID: 5698839090 Enrollment ID: I20150320001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry F Widmer Dc Llc 1892 Plaza Del Sur Dr Ste A, Santa Fe, NM 87505-6073 Ph: (505) 988-8017 | Larry F Widmer Dc Llc 1892 Plaza Del Sur Dr Ste A, Santa Fe, NM 87505-6073 Ph: (505) 988-8017 |
Brendan Tucker Casey, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 501 Franklin Ave, Santa Fe, NM 87501 Phone: 505-690-1873 | |
Dr. Windy G Carter, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2948 S Richards Ave, Santa Fe, NM 87507 Phone: 505-424-9114 Fax: 505-438-6615 | |
Ellewell, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 114 Pine St, Santa Fe, NM 87501 Phone: 505-629-3116 | |
Dr. Susan M Pisano, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1651 Galisteo St Ste 12, Santa Fe, NM 87505 Phone: 505-660-8589 | |
Dr. David Rosengren, D.C., D.O.M Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Garfield St, Santa Fe, NM 87501 Phone: 505-983-1513 Fax: 505-983-2215 | |
Chelsea Fleischman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 501 Franklin Ave, Santa Fe, NM 87501 Phone: 724-816-1469 | |
Life Enhancement Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2274 Calle Pulido, Santa Fe, NM 87505 Phone: 505-474-4815 |