| State Of New Mexico | |
|
1190 S Saint Francis Dr Santa Fe NM 87505-4173 | |
| (505) 827-2291 | |
| Not Available |
| Full Name | State Of New Mexico |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 1190 S Saint Francis Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lisa Gatti (MEDICAL CODER) |
| Authorized Official Contact | 5058722291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of New Mexico 1190 S Saint Francis Dr Ste 1050 Santa Fe NM 87505-4173 Ph: (505) 827-2291 | State Of New Mexico 1190 S Saint Francis Dr Santa Fe NM 87505-4173 Ph: (505) 827-2291 |
| NPI Number | 1699538983 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 04/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699538983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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