| Angel Fire Primary Care | |
|
37 Aspen Angel Fire NM 87710-0000 | |
| (575) 377-1805 | |
| Not Available |
| Full Name | Angel Fire Primary Care |
|---|---|
| Speciality | General Practice |
| Location | 37 Aspen, Angel Fire, New Mexico |
| Authorized Official Name and Position | Lesa D Fraker (PRESIDENT) |
| Authorized Official Contact | 5059898707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Fire Primary Care 707 Paseo De Peralta Santa Fe NM 87501-1922 Ph: (505) 989-8707 | Angel Fire Primary Care 37 Aspen Angel Fire NM 87710-0000 Ph: (575) 377-1805 |
| NPI Number | 1922376896 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922376896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (New Mexico) | Primary |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Camino Grande, Angel Fire, NM 87710 Phone: 575-377-3100 Fax: 877-651-0289 | |
Moreno Valley High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Camino Grande, Angel Fire, NM 87710 Phone: 575-377-3100 Fax: 575-377-3100 |