| Rutledge Skin Care Clinic, Pa | |
|
4 Road 3641 Aztec NM 87410-9562 | |
| (505) 564-8300 | |
| (505) 564-8303 |
| Full Name | Rutledge Skin Care Clinic, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4 Road 3641, Aztec, New Mexico |
| Authorized Official Name and Position | Michael Joseph Rutledge (OWNER) |
| Authorized Official Contact | 5055648300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutledge Skin Care Clinic, Pa 4801 N Butler Ave Suite 13101 Farmington NM 87401-6002 Ph: (505) 564-8300 | Rutledge Skin Care Clinic, Pa 4 Road 3641 Aztec NM 87410-9562 Ph: (505) 564-8300 |
| NPI Number | 1285741652 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285741652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 95-338 (New Mexico) | Primary |
William R Barkman Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Llano Street, Aztec, NM 87410 Phone: 505-334-9441 Fax: 505-334-8750 |