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Animas Dermatology Md Pc
Specialist in Farmington, New Mexico
NPI 1063576148

Animas Dermatology Md Pc is a Specialist based in Hesperus, NM. Animas Dermatology Md Pc practices in Farmington, NM. The NPI Number for Animas Dermatology Md Pc is 1063576148 and holds a License No. 97-254 (New Mexico).

The current practice location address for Animas Dermatology Md Pc is 4801 N Butler Ave Ste 9101, Farmington, NM and can be reached out via phone at 505-324-8375 and via fax at 505-327-4638.

Location: 4801 N Butler Ave Ste 9101, Farmington, NM, 81326-9752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063576148
Provider Name
Animas Dermatology Md Pc
Credential
Provider Entity Type
Organization
Address
4801 N Butler Ave Ste 9101, Farmington, NM, 81326-9752
Phone Number
505-324-8375
Fax Number
505-327-4638
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM012425 01 NM BLUE CROSS BLUE SHIELD NM
Q2833 05 NM
institution
Provider Business Practice Location Address Details
Address
4801 N Butler Ave Ste 9101
City
Farmington
State
New Mexico
Zip
87401-3300
Phone Number
505-324-8375
Fax Number
505-327-4638
person
Provider Business Mailing Address Details
Address
4801 N Butler Ave Ste 9101
City
Farmington
State
New Mexico
Zip
87401-3300
Phone Number
505-324-8375
Fax Number
505-327-4638
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
97-254 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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