Aztec Family Practice PA
NPI #1336348135 in Aztec, New Mexico
Provider Information
- NPI Number
- 1336348135
- Entity Type
- Organization
- Organization Name
- Aztec Family Practice PA
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 12, 2007
- Last Updated
- May 20, 2008
Practice Location
- Address
- 406 S PARK AVE
- City
- Aztec
- State
- New Mexico
- ZIP Code
- 87410-2226
- Phone
- (505) 334-2852
Authorized Official
- Name
- BRYAN POE
- Title
- OWNER
- Phone
- (505) 334-2852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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