| 360 Medicine | |
|
66 Avenida Aldea Santa Fe NM 87507-9449 | |
| (505) 795-7111 | |
| (505) 795-7112 |
| Full Name | 360 Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 66 Avenida Aldea, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lawrence Russell Canfield (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5057957111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Medicine 66 Avenida Aldea Santa Fe NM 87507-9449 Ph: (505) 795-7111 | 360 Medicine 66 Avenida Aldea Santa Fe NM 87507-9449 Ph: (505) 795-7111 |
| NPI Number | 1811644933 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811644933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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