institution
David Vise Od, Llc
Medical Specialty Clinic/Center in Santa Fe, New Mexico
NPI 1346685658

David Vise Od, Llc is a Medical Specialty Clinic/Center based in Santa Fe, NM and is specialized in Medical Specialty. David Vise Od, Llc practices in Santa Fe, NM. The NPI Number for David Vise Od, Llc is 1346685658 and holds a License No. 411 (New Mexico).

The current practice location address for David Vise Od, Llc is 3530 Zafarano Dr, Santa Fe, NM and can be reached out via phone at 505-473-5100 and via fax at 505-473-5104.

Location: 3530 Zafarano Dr, Santa Fe, NM, 87507-2617
institution
Provider Profile Details
NPI Number
1346685658
Provider Name
David Vise Od, Llc
Credential
Provider Entity Type
Organization
Address
3530 Zafarano Dr, Santa Fe, NM, 87507-2617
Phone Number
505-473-5100
Fax Number
505-473-5104
Provider Enumeration Date
05/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J9416 05 NM
institution
Provider Business Practice Location Address Details
Address
3530 Zafarano Dr
City
State
Zip
87507-2617
Phone Number
505-473-5100
Fax Number
505-473-5104
person
Provider Business Mailing Address Details
Address
3530 Zafarano Dr
City
State
Zip
87507-2617
Phone Number
505-473-5100
Fax Number
505-473-5104
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
411 (New Mexico)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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