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Edison Virgil Etsitty, MD
Obstetrics & Gynecology Physician in Santa Fe, New Mexico
NPI 1376521500

Edison Virgil Etsitty is a Obstetrics & Gynecology Physician based in Santa Fe, NM. Edison Virgil Etsitty practices in Santa Fe, NM and has the professional credentials of MD. The NPI Number for Edison Virgil Etsitty is 1376521500 and holds a License No. 2002-0299 (New Mexico).

The current practice location address for Edison Virgil Etsitty is 465 Saint Michaels Dr, Santa Fe, NM and can be reached out via phone at 505-984-0303 and via fax at 505-984-1116.

Location: 465 Saint Michaels Dr, Santa Fe, NM, 87505-7670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376521500
Provider Name
Edison Virgil Etsitty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
465 Saint Michaels Dr, Santa Fe, NM, 87505-7670
Phone Number
505-984-0303
Fax Number
505-984-1116
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10003903 01 NM LOVELACE HEALTH/SALUD
201038402 01 NM PRESBYTERIAN HEALTH/SALUD
723040 05 AZ
160058344 01 RAILROAD MEDICARE
NM009C04 01 NM BC/BS
50733826 05 NM
PROVP12721 01 MOLINA
850313268020 01 CHAMPUS
institution
Provider Business Practice Location Address Details
Address
465 Saint Michaels Dr
City
Santa Fe
State
New Mexico
Zip
87505-7670
Phone Number
505-984-0303
Fax Number
505-984-1116
person
Provider Business Mailing Address Details
Address
465 Saint Michaels Dr
City
Santa Fe
State
New Mexico
Zip
87505-7670
Phone Number
505-984-0303
Fax Number
505-984-1116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
2002-0299 (New Mexico)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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