| Oncall Immedaite Medical Care Llc | |
|
431 Saint Michaels Dr Suite B Santa Fe NM 87505-8607 | |
| (505) 954-9949 | |
| (505) 986-0008 |
| Full Name | Oncall Immedaite Medical Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 431 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Dwight C Lopez (CEO ADMINISTRATOR) |
| Authorized Official Contact | 5059549949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oncall Immedaite Medical Care Llc Po Box 3020 Albuquerque NM 87190-3020 Ph: (505) 954-9949 | Oncall Immedaite Medical Care Llc 431 Saint Michaels Dr Suite B Santa Fe NM 87505-8607 Ph: (505) 954-9949 |
| NPI Number | 1245559368 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245559368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1000095012 (New Mexico) | Primary |
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