| Westside Family Medicine | |
|
1316 Jackie Rd Se Ste 900 Rio Rancho NM 87124-6612 | |
| (505) 892-7518 | |
| (505) 892-9092 |
| Full Name | Westside Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1316 Jackie Rd Se Ste 900, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Lee M Robak (OWNER) |
| Authorized Official Contact | 5058927518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Medicine 1316 Jackie Rd Se Ste 900 Rio Rancho NM 87124-6612 Ph: (505) 892-7518 | Westside Family Medicine 1316 Jackie Rd Se Ste 900 Rio Rancho NM 87124-6612 Ph: (505) 892-7518 |
| NPI Number | 1023146354 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023146354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95-86 (New Mexico) | Primary |
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