Proactive MD Nm, LLC
NPI #1407500309 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1407500309
- Entity Type
- Organization
- Organization Name
- Proactive MD Nm, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 9, 2022
- Last Updated
- Feb 9, 2022
Practice Location
- Address
- 1100 S SAINT FRANCIS DR STE 1000
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4147
- Phone
- (864) 501-0751
Authorized Official
- Name
- JAN HOPKINS
- Title
- ASSOC. OPS MGR
- Phone
- (864) 501-0751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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