Northern Nm Medical Management, Llc | |
1421 Luisa Street Suite B Santa Fe NM 87505-4073 | |
(505) 982-8338 | |
(505) 982-8393 |
Full Name | Northern Nm Medical Management, Llc |
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Speciality | Internal Medicine |
Location | 1421 Luisa Street, Santa Fe, New Mexico |
Authorized Official Name and Position | John Stanley Caskey (MEDICAL PROVIDER/OWNER) |
Authorized Official Contact | 5059828338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northern Nm Medical Management, Llc 1421 Luisa Street Suite 1 Santa Fe NM 87505-4073 Ph: (505) 982-8338 | Northern Nm Medical Management, Llc 1421 Luisa Street Suite B Santa Fe NM 87505-4073 Ph: (505) 982-8338 |
NPI Number | 1558875260 |
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Provider Enumeration Date | 11/17/2017 |
Last Update Date | 11/17/2017 |
Identifier | Type | State | Issuer |
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1558875260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD2006-0456 (New Mexico) | Primary |
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