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Roberta L. Fennig Do Pc
Clinic/Center in Santa Teresa, New Mexico
NPI 1912259441

Roberta L. Fennig Do Pc is a Clinic/Center based in Santa Teresa, NM. Roberta L. Fennig Do Pc practices in Santa Teresa, NM. The NPI Number for Roberta L. Fennig Do Pc is 1912259441 and holds a License No. A167712 (New Mexico).

The current practice location address for Roberta L. Fennig Do Pc is 5305 Mcnutt Rd, Santa Teresa, NM and can be reached out via phone at 575-589-1770 and via fax at 575-589-1799. You can also correspond with Roberta L. Fennig Do Pc through the mailing address at PO BOX 4, SANTA TERESA, NM - 88008-0004 (mailing address contact number: 575-589-1770).

Location: 5305 Mcnutt Rd, Santa Teresa, NM, 88008-0004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912259441
Provider Name
Roberta L. Fennig Do Pc
Credential
Provider Entity Type
Organization
Address
5305 Mcnutt Rd, Santa Teresa, NM, 88008-0004
Phone Number
575-589-1770
Fax Number
575-589-1799
Provider Enumeration Date
10/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5305 Mcnutt Rd
City
Santa Teresa
State
New Mexico
Zip
88008-9685
Phone Number
575-589-1770
Fax Number
575-589-1799
person
Provider Business Mailing Address Details
Address
5305 Mcnutt Rd
City
Santa Teresa
State
New Mexico
Zip
88008-9685
Phone Number
575-589-1770
Fax Number
575-589-1799
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A167712 (New Mexico)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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