| Duke City Primary Care | |
|
12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9557 | |
| (505) 281-5180 | |
| (505) 281-5320 |
| Full Name | Duke City Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 12127b Hwy 14 N Ste 5, Cedar Crest, New Mexico |
| Authorized Official Name and Position | Theresa G. Romero (CONTRACTS/CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5052815180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke City Primary Care 12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9557 Ph: (505) 281-5180 | Duke City Primary Care 12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9557 Ph: (505) 281-5180 |
| NPI Number | 1215580832 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215580832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
Lisa Marie Stolarczyk Md Phd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Alicia Road, Cedar Crest, NM 87008 Phone: 505-270-6499 | |
Placitas Mountain Medical, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008 Phone: 505-281-5180 Fax: 505-281-5320 |