Pojoaque Family Practice, P.a.

NPI #1326145707 in Santa Fe, New Mexico

Provider Information

NPI Number
1326145707
Entity Type
Organization
Organization Name
Pojoaque Family Practice, P.a.
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Sep 20, 2006
Last Updated
Apr 16, 2010

Practice Location

Address
5 PETROGLYPH CIR
Address 2
STE. B
ZIP Code
87506-1001
Phone
(505) 455-2842

Authorized Official

Name
DR. CHARLES JAMES MAESTAS, M.D.
Title
PRESIDENT/PHYSICIAN
Phone
(505) 455-2842

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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