James D. Mickle, Jr. Md - Santa Fe, NM

James D. Mickle, Jr. Md

Medical Specialty Clinic/Center in Santa Fe, New Mexico

NPI 1477855104

James D. Mickle, Jr. Md is a Medical Specialty Clinic/Center based in Santa Fe, NM and is specialized in Medical Specialty. James D. Mickle, Jr. Md practices in Santa Fe, NM. The NPI Number for James D. Mickle, Jr. Md is 1477855104 and holds a License No. MD2008-0397 (New Mexico).

The current practice location address for James D. Mickle, Jr. Md is 4 Calle Medico, Santa Fe, NM and can be reached out via phone at 610-952-4418 and via fax at 610-369-2710.

Location: 4 Calle Medico, Santa Fe, NM, 87505-4791

NPI Number

1477855104

Provider Name

James D. Mickle, Jr. Md

Credential

Provider Entity Type

Organization

Address

4 Calle Medico, Santa Fe, NM, 87505-4791

Phone Number

610-952-4418

Fax Number

610-369-2710

Provider Enumeration Date

12/01/2010

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
502171	01	PA	MEDICARE ID

Address

4 Calle Medico

City

Santa Fe

State

New Mexico

Zip

87505-4791

Phone Number

610-952-4418

Fax Number

610-369-2710

Address

4 Calle Medico

City

Santa Fe

State

New Mexico

Zip

87505-4791

Phone Number

610-952-4418

Fax Number

610-369-2710

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

License No.

MD2008-0397 (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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