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Internal Medicine Of Grants
Specialist in Grants, New Mexico
NPI 1497774574

Internal Medicine Of Grants is a Specialist based in Grants, NM. Internal Medicine Of Grants practices in Grants, NM. The NPI Number for Internal Medicine Of Grants is 1497774574 and holds a License No. 2000-I38 (New Mexico).

The current practice location address for Internal Medicine Of Grants is 101 Greenleaf Ct, Grants, NM and can be reached out via phone at 505-287-2621 and via fax at 505-287-5119.

Location: 101 Greenleaf Ct, Grants, NM, 87020-4235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497774574
Provider Name
Internal Medicine Of Grants
Credential
Provider Entity Type
Organization
Address
101 Greenleaf Ct, Grants, NM, 87020-4235
Phone Number
505-287-2621
Fax Number
505-287-5119
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201025858 01 NM PRESBYTERIAN
110218817 01 NM RAILROAD MEDICARE
NM-003231 01 NM BCBS-AUGENSTEIN
institution
Provider Business Practice Location Address Details
Address
101 Greenleaf Ct
City
Grants
State
New Mexico
Zip
87020-4235
Phone Number
505-287-2621
Fax Number
505-287-5119
person
Provider Business Mailing Address Details
Address
101 Greenleaf Ct
City
Grants
State
New Mexico
Zip
87020-4235
Phone Number
505-287-2621
Fax Number
505-287-5119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2000-I38 (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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