Animas Dermatology MD PC
NPI #1063576148 in Farmington, New Mexico
Provider Information
- NPI Number
- 1063576148
- Entity Type
- Organization
- Organization Name
- Animas Dermatology MD PC
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Aug 17, 2018
Practice Location
- Address
- 4801 N BUTLER AVE STE 9101
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-3300
- Phone
- (505) 324-8375
Authorized Official
- Name
- DR. JEAN A GRAHAM, M.D.
- Title
- CEO
- Phone
- (505) 324-8375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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