Molina Medical Group of New Mexico, PC
NPI #1194150318 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1194150318
- Entity Type
- Organization
- Organization Name
- Molina Medical Group of New Mexico, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 6, 2013
- Last Updated
- May 27, 2014
Practice Location
- Address
- 1714 SAINT MICHAELS DR # 1
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-7617
- Phone
- (505) 490-4042
Authorized Official
- Name
- GLORIA CALDERON
- Title
- VP, CLINIC OPERATIONS
- Phone
- (562) 499-6191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Nurse Practitioner |
| Physician Assistant |
| Internal Medicine |
| Social Worker |
| Family Medicine |
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