State of New Mexico

NPI #1457539322 in Santa Fe, New Mexico

Provider Information

NPI Number
1457539322
Entity Type
Organization
Organization Name
State of New Mexico
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEW MEXICO
Primary Specialty
Public Health or Welfare
Enumeration Date
Feb 4, 2008
Last Updated
Feb 4, 2008

Practice Location

Address
2025 S PACHECO ST
ZIP Code
87505-3991
Phone
(505) 827-3100

Authorized Official

Name
ROBERT STEVENS, RPH
Title
CHIEF
Phone
(505) 827-6207

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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