| Diane E Friedman Md Llc | |
|
2019 Galisteo St Suite N9a Santa Fe NM 87505-2143 | |
| (505) 988-1930 | |
| (505) 982-9931 |
| Full Name | Diane E Friedman Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2019 Galisteo St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Diane Elizabeth Friedman (OWNER) |
| Authorized Official Contact | 5059881930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane E Friedman Md Llc 2019 Galisteo St Suite N9a Santa Fe NM 87505-2143 Ph: (505) 988-1930 | Diane E Friedman Md Llc 2019 Galisteo St Suite N9a Santa Fe NM 87505-2143 Ph: (505) 988-1930 |
| NPI Number | 1780614446 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780614446 | NPI | - | NPPES |
| 54700833 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 99-200 (New Mexico) | Primary |
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