| Santa Fe Family And Functional Medicine Pc | |
|
401 Botulph Lane Santa Fe NM 87505 | |
| (505) 983-8387 | |
| (505) 820-2733 |
| Full Name | Santa Fe Family And Functional Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Botulph Lane, Santa Fe, New Mexico |
| Authorized Official Name and Position | Bruce E Gollub (PRESIDENT) |
| Authorized Official Contact | 5059838387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Family And Functional Medicine Pc 401 Botulph Lane Santa Fe NM 87505 Ph: (505) 983-8387 | Santa Fe Family And Functional Medicine Pc 401 Botulph Lane Santa Fe NM 87505 Ph: (505) 983-8387 |
| NPI Number | 1255400040 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255400040 | NPI | - | NPPES |
| 49064 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Axces Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4851 Paseo Del Sol, Santa Fe, NM 87507 Phone: 505-467-1081 Fax: 505-954-1180 | |
William A. Leeson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Hospital Dr Ste D, Santa Fe, NM 87505 Phone: 505-983-6774 Fax: 888-707-2979 |